Acute coronary syndromes: from the emergency department to the cardiac care unit

Cardiol Clin. 2012 Nov;30(4):617-27. doi: 10.1016/j.ccl.2012.07.010. Epub 2012 Oct 1.

Abstract

Acute coronary syndromes result in a significant burden of morbidity and mortality in the United States. This spectrum of acute coronary thrombosis (including unstable angina, non-ST-segment elevation myocardial infarction, and ST-elevation myocardial infarction) has been well studied in large clinical trials. This review details the initial management of patients presenting with possible acute coronary syndromes in the context of care from the emergency department to the cardiac care unit. The importance of a rapid and focused evaluation, risk stratification, and appropriate therapies are discussed.

Publication types

  • Review

MeSH terms

  • Acute Coronary Syndrome* / diagnosis
  • Acute Coronary Syndrome* / therapy
  • Adrenergic beta-Antagonists / therapeutic use
  • Anticoagulants / therapeutic use
  • Creatine Kinase, MB Form / blood
  • Electrocardiography
  • Emergency Medical Services / methods*
  • Hospital Units
  • Humans
  • Percutaneous Coronary Intervention
  • Platelet Aggregation Inhibitors / therapeutic use
  • Practice Guidelines as Topic
  • Risk Assessment / methods
  • Thrombolytic Therapy
  • Troponin / blood

Substances

  • Adrenergic beta-Antagonists
  • Anticoagulants
  • Platelet Aggregation Inhibitors
  • Troponin
  • Creatine Kinase, MB Form