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Review
. 2003 Jun 7;326(7401):1259-61.
doi: 10.1136/bmj.326.7401.1259.

Acute coronary syndrome: unstable angina and non-ST segment elevation myocardial infarction

Ever D Grech  1 , David R Ramsdale
Affiliations
Review

Acute coronary syndrome: unstable angina and non-ST segment elevation myocardial infarction

Ever D Grech et al. BMJ. .
No abstract available

PubMed Disclaimer

Figures

Figure 1
Figure 1
Spectrum of acute coronary syndromes according to electrocardiographic and biochemical markers of myocardial necrosis (troponin T, troponin I, and creatine kinase MB), in patients presenting with acute cardiac chest pain
Figure 2
Figure 2
Diagram of an unstable plaque with superimposed luminal thrombus
Figure 3
Figure 3
Distal embolisation of a platelet-rich thrombus causing occlusion of intramyocardial arteriole (arrow). Such an event may result in micro-infarction and elevation of markers of myocardial necrosis
Figure 4
Figure 4
Electrocardiogram of a 48 year old woman with unstable angina (top). Note the acute ischaemic changes in leads V1 to V5 (arrows). Coronary angiography revealed a severe mid-left anterior descending coronary artery stenosis (arrow, bottom left), which was successfully stented (bottom right)
Figure 4
Figure 4
Electrocardiogram of a 48 year old woman with unstable angina (top). Note the acute ischaemic changes in leads V1 to V5 (arrows). Coronary angiography revealed a severe mid-left anterior descending coronary artery stenosis (arrow, bottom left), which was successfully stented (bottom right)
Figure 4
Figure 4
Electrocardiogram of a 48 year old woman with unstable angina (top). Note the acute ischaemic changes in leads V1 to V5 (arrows). Coronary angiography revealed a severe mid-left anterior descending coronary artery stenosis (arrow, bottom left), which was successfully stented (bottom right)
Figure 7
Figure 7
Right coronary artery angiogram in patient with non-ST segment elevation myocardial infarction (top left), showing hazy appearance of intraluminal thrombus overlying a severe stenosis (arrow). Abciximab was given before direct stenting (top right), with good angiographic outcome (bottom)
Figure 7
Figure 7
Right coronary artery angiogram in patient with non-ST segment elevation myocardial infarction (top left), showing hazy appearance of intraluminal thrombus overlying a severe stenosis (arrow). Abciximab was given before direct stenting (top right), with good angiographic outcome (bottom)
Figure 7
Figure 7
Right coronary artery angiogram in patient with non-ST segment elevation myocardial infarction (top left), showing hazy appearance of intraluminal thrombus overlying a severe stenosis (arrow). Abciximab was given before direct stenting (top right), with good angiographic outcome (bottom)
Figure 10
Figure 10
Rates of death from all causes and non-fatal myocardial infarction at 14 days, by TIMI risk score. Note sharp rate increase when score ≥ 3
Figure 11
Figure 11
Simplified management pathway for patients with unstable angina or non-ST segment elevation myocardial infarction
See this image and copyright information in PMC

References

    1. Braunwald E, Antman EM, Beasley JW, Califf RM, Cheitlin MD, Hochman JS, et al. ACC/AHA 2002 guideline update for the management of patients with unstable angina and non-ST-segment elevation myocardial infarction: a report of the American College of Cardiology/American Heart Association task force on practice guidelines. J Am Coll Cardiol 2002;40: 1366-74 - PubMed
    1. Bertrand ME, Simoons ML, Fox KA, Wallentin LC, Hamm CW, McFadden E, et al. Management of acute coronary syndromes: acute coronary syndromes without persistent ST segment elevation. Recommendations of the Task Force of the European Society of Cardiology. Eur Heart J 2000;21: 1406-32 - PubMed
    1. Antman EM, Cohen M, Bernink PJ, McCabe CH, Horacek T, Papuchis G, et al. The TIMI risk score for unstable angina/non-ST elevation MI: a method for prognostication and therapeutic decision making. JAMA 2000;284: 835-42 - PubMed
    1. Ramsdale DR, Grech ED. Percutaneous coronary intervention unstable angina and non-Q-wave myocardial infarction. In: Grech ED, Ramsdale DR, eds. Practical interventional cardiology. 2nd ed. London: Martin Dunitz, 2002: 165-87