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Moderate Risk Acute Coronary Syndrome ManagementAka: Non-ST elevation MI, Non-Q-Wave MI, Myocardial Ischemia Protocol
- See Also
- Criteria: Myocardial Ischemia (Unstable Angina)
- ST Depression >1 mm
- Symmetrical T-wave inversion in precordial leads
- Dynamic ST segment and T Wave changes with pain
- Management
- See MI Adjunctive Therapy
- Strongly consider Glycoprotein IIB/IIIA Inhibitor
- Indicated for risk factors below
- Indications: High Risk Patients Requiring Cardiac Angiography
- Persistent symptoms
- Recurrent Myocardial Ischemia
- Diffuse or widespread EKG changes
- Depressed Left Ventricular function
- Congestive Heart Failure
- Serum Cardiac Marker Increased
- Troponin Increased
- CK-MB Increased
- References
Myocardial Ischemia (C0151744) | |
|---|---|
| Definition (MSH) | A disorder of cardiac function caused by insufficient blood flow to the muscle tissue of the heart. The decreased blood flow may be due to narrowing of the coronary arteries (CORONARY ARTERY DISEASE), to obstruction by a thrombus (CORONARY THROMBOSIS), or less commonly, to diffuse narrowing of arterioles and other small vessels within the heart. Severe interruption of the blood supply to the myocardial tissue may result in necrosis of cardiac muscle (MYOCARDIAL INFARCTION). |
| Definition (NCI) | A disorder of cardiac function caused by insufficient blood flow to the muscle tissue of the heart. The decreased blood flow may be due to narrowing of the coronary arteries, to obstruction by a thrombus, or less commonly, to diffuse narrowing of arterioles and other small vessels within the heart. Severe interruption of the blood supply to the myocardial tissue may result in necrosis of cardiac muscle (myocardial infarction). |
| Definition (CSP) | blood deficiency in the myocardium caused by a constriction or obstruction of its blood vessels; frequently occurs in conjunction with hypoxia, which is reduction in oxygen supply. |
| Concepts | Disease or Syndrome (T047) |
| ICD9 | 410-414.99, 414.8, 414.9 |
| MSH | D017202 |
| English | Cardiac ischaemia, Cardiac ischemia, HEART DIS ISCHEMIC, IHD, IHD - Ischaemic heart disease, IHD - Ischemic heart disease, Ischaemic heart disease, ISCHEMIA MYOCARDIAL, ISCHEMIC HEART DIS, Ischemic heart disease, Ischemic Heart Diseases, MYOCARDIAL ISCHAEMIA, myocardial ischemia, myocardial ischemia/hypoxia, Myocardial Ischemias |
| Spanish | cardiopatia isquemica, enfermedad cardiaca isquemica, enfermedad isquemica del corazon, isquemia miocardica |
| Parent Concepts | vascular ischemia (C0679395), Heart Diseases (C0018799), Ischemia (C0022116), Coronary Arteriosclerosis (C0010054), Arterial and Arteriolar Disorders (C0549520), Circulatory system disease NOS (C0728936), Vascular Diseases (C0042373), Non-Neoplastic Heart Disorder (C1335015), Myocardial Ischemia (C0151744), Cardiomyopathies (C0878544), Ambiguous concept (C1274012), Duplicate concept (C1274013) |
| Sources | AOD, COSTAR, CSP, CST, DXP, ICD9CM, LNC, MSH, MTH, MTHICD9, NCI, NDFRT, OMIM, SCTSPA, SNOMEDCT Derived from the NIH UMLS (Unified Medical Language System) |
Acute Coronary Syndrome (C0948089) | |
|---|---|
| Definition (MSH) | An episode of MYOCARDIAL ISCHEMIA that generally lasts longer than a transient anginal episode but that does not usually result in MYOCARDIAL INFARCTION. |
| Concepts | Disease or Syndrome (T047) |
| MSH | D054058 |
| English | ACS - Acute coronary syndrome, Acute Coronary Syndrome, Acute Coronary Syndromes |
| Spanish | sindrome coronario agudo |
| Parent Concepts | Myocardial Ischemia (C0151744), Syndrome (C0039082), Cardiomyopathies (C0878544), Acute ischemic heart disease (C1510446), Duplicate concept (C1274013) |
| Sources | MSH, NCI, SCTSPA, SNOMEDCT Derived from the NIH UMLS (Unified Medical Language System) |
Acute non-ST segment elevation myocardial infarction (C1276061) | |
|---|---|
| Concepts | Disease or Syndrome (T047) |
| English | Acute non-ST segment elevation myocardial infarction, NSTEMI - Non-ST segment elevation MI |
| Spanish | infarto agudo de miocardio sin elevacion del segmento ST |
| Parent Concepts | Acute myocardial infarction (C0155626) |
| Sources | SCTSPA, SNOMEDCT Derived from the NIH UMLS (Unified Medical Language System) |
