Abbreviations
(+)ve positive
(-)ve negative
+/- may or may not be present
1o primary
ACEI Angiotensin Converting Enzyme Inhibitor
ACS Acute Coronary Syndrome
ARA Angiotensin Receptor Antagonist
ASA Aspirin
ASAP as soon as possible
BBB Bundle Brunch Block
CABG Coronary Artery Bypass Graft surgery
CCA Calcium Channel Antagonist
CHF Congestive Heart Failure
CP Clinical Picture (Sign and Symptoms)
CPK Creatine Kinase
Class Classification
Comps Complications
D Definition
Dx Diagnosis
ECG Electrocardiogram
ECHO Echocardiogram
Ep Epidemiology
Et Etiology
IV intravenous
LAD Left Anterior Decending Coronary Artery
LMWH Low Molecular Weight Heparin
MI Myocardial Infarction
Mg Management
N/V Nausea/Vomiting
NQWMI Non-Q wave Myocardial Infarction
NSTEMI Non-ST Elevation Myocardial Infarction
P Pathogenesis
PCI Percutaneous Coronary Intervention
Px Prognosis
QWMI Q wave Myocardial Infarction
RCA Right Coronary Artery
SA Stable Angina
SL Sublingual
STEMI ST-Elevation Myocardial Infarction
TI Troponine T
TT Troponine I
Tx Treatment
UA Unstable Angina
mil. million
CHD Coronary Heart Disease
mo month
pts patients
w weeks
y years
↑ increased, elevated
↓ decreased, reduced
, ACS
D a group of conditions occuring due to acute thrombotic occlusion of a coronary artery secondary to plaque rupture
Ep
[in USA] incidence 1.5 mil. MI
mortality 450 000 (50% before reaching the hospital)
Class
manifestation of each type is based on degree/location of obstruction
Old New
UA NSTE-ACS (UA+NSTEMI)
acute MI STEMI
sudden cardiac death sudden cardiac death
Et
ischemia (CHD)
P
CP
Symptoms are similar in all cases
chest discomfort +/- dyspnea, nausea, and diaphoresis
Dx
as in SA
Tx
antiplatelets/anticoagulants, nitrates, β-blockers
emergency reperfusion via
thrombolytics/fibrinolytics
percutaneous coronary intervention (PCI)
coronary artery bypass graft surgery (CABG)