What is acute coronary syndrome?

summary

Acute coronary syndrome (ACS) is a group of clinical syndromes with the pathological basis of coronary atherosclerotic plaque rupture or invasion and secondary complete or incomplete occlusive thrombosis, including acute ST segment elevation myocardial infarction, acute non ST segment elevation myocardial infarction and unstable angina pectoris (UA). What is acute coronary syndrome? Next, I'd like to share my views with you.

What is acute coronary syndrome?

First: typical manifestations are paroxysmal retrosternal stuffy pain, compression or pressure, burning sensation, which can radiate to the left upper arm, mandible, neck, back, shoulder or ulnar side of left forearm. It is intermittent or persistent, accompanied by sweating, nausea, dyspnea, asphyxia, and even syncope, lasting more than 10-20 minutes. If nitroglycerin can not be completely relieved, it often indicates AMI.

Second, atypical manifestations include toothache, sore throat, epigastric pain, dyspepsia, chest pain or dyspnea. These are common in the elderly, women, diabetes, chronic renal insufficiency or dementia. In clinical practice, there is no typical chest pain, especially when the electrogram is normal or critical change, it is easy to be ignored and delayed treatment, so continuous observation should be paid attention to. Most ACS patients have no obvious signs.

Third: severe patients may have cold and wet skin, pale complexion, irritability, jugular vein tension, etc. auscultation can hear pulmonary rales, arrhythmia, heart murmur, split heart sound, third heart sound, pericardial friction sound and galloping rhythm.

matters needing attention

1. ACS patients should pay attention to the use of light and digestible diet, low salt and low-fat diet should be used after the acute phase, such as diabetes mellitus should also pay attention to the control of sugar intake. 2. Resistance training should be carried out once or twice a week. Physical exercise should be carried out step by step and should not induce angina pectoris and other symptoms. All ACS patients need to quit smoking.