alexa Acute coronary syndrome | India| PDF | PPT| Case Reports | Symptoms | Treatment

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Acute Coronary Syndrome

  • Acute coronary syndrome

     Acute coronary syndrome is a term used for any condition brought on by sudden, reduced blood flow to the heart. Acute coronary syndrome symptoms may include the type of chest pressure that you feel during a heart attack, or pressure in your chest while you're at rest or doing light physical activity (unstable angina). The first sign of acute coronary syndrome can be sudden stopping of your heart (cardiac arrest).

    Typical symptoms

    • Chest pain (angina) that feels like burning, pressure or tightness, Pain elsewhere in the body, such as the left upper arm or jaw (referred pain), Nausea, Vomiting, Shortness of breath (dyspnea),heavy sweating (diaphoresis).

  • Acute coronary syndrome

     Tests and diagnosis

    Electrocardiogram (ECG), Blood tests, Echocardiogram, Chest X-ray, Nuclear scan, Coronary angiogram (cardiac catheterization), Computerized tomography (CT) angiogram, Exercise stress test.
  • Acute coronary syndrome


    Acute Coronary Syndrome (ACS) is a general term used by doctors that usually means a person is experiencing one of two things: a small or large heart attack or the person is suffering severe chest pain called an unstable angina. A heart attack is further categorized as STEMI (which usually means a large heart attack) and Non-STEMI (which usually means a small heart attack). Indian patients with ACS have a higher rate of STEMI (61%) than do patients in high income countries (15-25%). India has the highest burden of ACS in the world. The CREATE registry has provided contemporary data on 20,468 patients from 89 centers from 10 regions and 50 cities in India. The three most common risk factors for ACS were smoking (40%), high blood pressure (38%), and diabetes (30%). The prevalence of dyslipidemia (cholesterol abnormalities) was unfortunately not available or reported. The median time from symptoms to hospital was 360 min (several times higher than in the US and other high income countries).


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