Acute Coronary Syndrome

Acute coronary syndrome is a term used to describe a range of conditions associated with sudden, reduced blood flow to the heart. One such condition is a heart attack (myocardial infarction) — when cell death results in damaged or destroyed heart tissue. Even when acute coronary syndrome causes no cell death, the reduced blood flow changes how the heart works and is a sign of a high risk of heart attack.

 

Symptoms:

•  Chest pain (angina)
•  Pain spreading from the chest to the shoulders, arms, upper abdomen, back, neck or jaw
•  Nausea or vomiting
•  Indigestion
•  Shortness of breath (dyspnea
•  Sudden, heavy sweating (diaphoresis)
•  Lightheadedness, dizziness or fainting
•  Unusual or unexplained fatigue
•  Feeling restless or apprehensive

 

Diagnoses:

•  Electrocardiogram (ECG  
•  Blood tests
•  Coronary angiogram
•  Echocardiogram
•  Myocardial perfusion imaging  
•  Computerized tomography (CT) angiogram  
•  Stress test

 

Treatments:

•  Thrombolytics 
•  Nitroglycerin 
•  Antiplatelet drugs 
•  Beta blockers 
•  Angiotensin-converting enzyme (ACE) inhibitors 
•  Angiotensin receptor blockers (ARBs) 
•  Surgery (Angioplasty and stenting, Coronary bypass)