accute coronary syndrome
DESCRIPTION
Dr. Alberto Foschi of Saint Francis Hospital in Evanston, Illinois presents the risk factors for heart attack, presentation of an attack, diagnosis, treatment options and recovery.TRANSCRIPT
Acute Coronary Syndrome
Alberto Foschi, MDCardiology DepartmentSaint Francis Hospital
Acute Coronary Syndrome
What does this mean?
• Acute– “All of the sudden” event
• Coronary– Involves arteries of the heart
• Syndrome
– Symptoms and signs
Agenda
• Risk factors
• Presentation
• Diagnosis
• Treatment
• Recovery
Risk FactorsControllable
• Diabetes
• Hypertension
• Obesity
• Smoking
• High cholesterol
• Metabolic syndrome
• Stressful events
Uncontrollable
• Family history
• Age
• Genetic sex
Presentation
• Chest Pain
– Center of chest
– May radiate to arm or jaw
Presentation
• Shortness of breath– Heart doesn’t receive enough blood
Presentation
• Palpitations– Extra beats
Presentation
• Cold Sweat
• Perspiration
Presentation
• Faint Feeling
Presentation
• Nausea or vomiting
Diagnosis
• Call 911 for emergency attention
• Emergent electrocardiogram
• Transfer to Chest Pain Center for treatment and confirmation of diagnosis
• “Time is muscle”– Act quickly
Treatment
• Drugs for symptom relief
– To treat pain
– To alleviate shortness of breath
• Immediate angiogram and angioplasty (if done in under 90 minutes of onset of symptoms)
– Reduces mortality significantly
• Rule of 10 to 1
– Every 10 minutes saved decreases mortality by 1%
Recovery
• Aggressive correction of all risk factors
• Cardiac rehabilitation program
Actual Angiogram
Angiogram shows complete
blockage
Actual Angiogram
This shows the expansion of
the stent by the balloon
Actual Angiogram
The final picture of the
angiogram after the
coronary stent placement.