Infarto agudo de miocardio. SCACEST

  1. García Sebastián, C. 1
  2. Abellas Sequeiros, M. 1
  3. Monteagudo Ruiz, J.M. 1
  4. Zamorano Gómez, J.L. 1
  1. 1 Servicio de Cardiología, Hospital Universitario Ramón y Cajal, Madrid, España
Journal:
Medicine: Programa de Formación Médica Continuada Acreditado

ISSN: 0304-5412

Year of publication: 2021

Issue Title: Enfermedades cardiovasculares (IV)

Series: 13

Issue: 38

Pages: 2177-2184

Type: Article

DOI: 10.1016/J.MED.2021.07.002 DIALNET GOOGLE SCHOLAR

More publications in: Medicine: Programa de Formación Médica Continuada Acreditado

Abstract

Acute coronary syndrome (ACS) occurs when there is an imbalance between the supply and demand of oxygen to the myocardium. When this ACS is accompanied by ST segment elevation (STSE ACS) it is usually due to the rupture of an atheroma plaque forming a thrombus acutely occluding the coronary artery. The most common clinical presentation of STSE ACS is oppressive, persistent central chest pain and ST segment elevation on the electrocardiogram. However, atypical clinical or electrocardiographic manifestations are occasionally observed, which complicate diagnosis and can delay treatment. It is essential to develop structured STSE ACS care systems (infarction code) to ensure quality of care and reduce time to treatment. Treatment is based on revascularisation and opening the affected vessel using two procedures: primary angioplasty (of choice) or fibrinolysis. Secondary prevention and participation in cardiac rehabilitation programmes are key elements in the long-term management of these patients.

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Data source: Dialnet