81 :

coronary Artery Disease

SPECT÷FISUN=MlA ACUTE CORONARY SYNDROMES

SILENT ISCHEMIA
CHRONIC STABLE INSTE-Atcs-ehrombusformatf.IT
ANGINA UNSTABLE ANGINA NON STEM STEM I
113 ) ST elevation (ECG)

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pectoris Angina pectoris C- )

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Angina
mynoegarorsdisal
pectoris least E)
stable Angina at
-
-

Exercise -
induced ECG changes precipitated by physical exertion
-

occurs at rest
↳
-
-

Asymptomatic
-

- crescendo -
decrescendo ( 2 -
Sm ) -
crescendo pattern Glom)
plantenet cabfdfmacarne.rs
-
transient myocardial ischemia -

Recent onset [ White red thrombi give

thrombi →

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fibrin014174

Bed rest w/ continuous ECG

(s torn) monitoring PCI
:
Mx :
rest -
Mx :
-
my -

Anti Ischemic TY
sublingual Nitroglycerin
-
-

Fibrinolysis
02
,
Nitrates , B blockers , Ca blockers , statins
-
-

-
Pharmacotherapy
-
Anti -
platelet -
anti thrombotic,
-

Aspirin
-

antiplatelet
anticoagulants
Asp t clopidogrel / Tlcagrelor
-

-
B blockers
-

RAAS inhib
-

Anticoagulant -
Look out for
UFA
'

Hypertension
-

-
LMWH (Ehoxapanh ) -
control discomfort
Fonda pawnUX Nitrates avoid if BP
7m9mO*g
-
-
-

morphine
N B Blockers
-

-
Invasive -

Revascularization
-

coronary Angiography
→ PCI / CABG Angiography

NSTEMI

Normal ECG QRB

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STEMI

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