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Sindromes Coronarios agudos

Angina Inestable NSTEMI STEMI

Acute coronary thrombosis is a key issue in treatment of ACS

Ruptura de la Placa Factor desencadenantede SCA

SINDROMES CORONARIOS AGUDOS

Several intrinsic risk factors promote plaque instability

Thrombolysis of an occlusive thrombus

New terminology in ACS


Plaque Rupture
Stable Angina Unstable Angina Non Q-wave MI Q-wave MI

Old term

New term Atherothrombosis


Daysweeks

UA/NSTEMI Minuteshours

STEMI

Antithrombotic Therapy

Thrombolysis Primary PCI

Braunwald etiologic Calsification of UA. Nonocclusive


thrombus on pre-existing plaque Progressive mechanical obstruction

Dynamic obstruction

Secondary UA (b MVO2)

Inflammation/ infection

Trombosis Intracoronaria

ESPASMO CORONARIO

Trombo oclusivo

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