Cardiovascular Medicine Book

Circulatory Disorders

http://www.fpnotebook.com/

Moderate Risk Acute Coronary Syndrome ManagementAka: Non-ST elevation MI, Non-Q-Wave MI, Myocardial Ischemia Protocol

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  1. See Also
    1. MI Adjunctive Therapy
  2. Criteria: Myocardial Ischemia (Unstable Angina)
    1. ST Depression >1 mm
    2. Symmetrical T-wave inversion in precordial leads
    3. Dynamic ST segment and T Wave changes with pain
  3. Management
    1. See MI Adjunctive Therapy
    2. Strongly consider Glycoprotein IIB/IIIA Inhibitor
      1. Indicated for risk factors below
  4. Indications: High Risk Patients Requiring Cardiac Angiography
    1. Persistent symptoms
    2. Recurrent Myocardial Ischemia
    3. Diffuse or widespread EKG changes
    4. Depressed Left Ventricular function
    5. Congestive Heart Failure
    6. Serum Cardiac Marker Increased
      1. Troponin Increased
      2. CK-MB Increased
  5. References
    1. (2000) Circulation 102(suppl I):I

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