Chapter 6: Acute Coronary Syndromes

Chapter 6: Acute Coronary Syndromes

• Section 6.1: ST-Elevation Myocardial Infarction (STEMI)

  • 6.1.1: Clinical Presentation
    • Classic chest pain
    • ECG findings and localization of infarct
  • 6.1.2: Emergency Reperfusion
    • Time-to-treatment goals
    • Primary PCI protocols and outcomes
    • Thrombolysis indications and contraindications

• Section 6.2: NSTEMI and Unstable Angina

  • 6.2.1: Diagnosis
    • Distinguishing NSTEMI from unstable angina
    • Serial troponin measurements
  • 6.2.2: Risk Stratification
    • Use of GRACE and TIMI risk scores
    • Early invasive vs. conservative strategy

• Section 6.3: Management and Revascularization

  • 6.3.1: Pharmacotherapy
    • P2Y12 inhibitors (clopidogrel, ticagrelor)
    • Anticoagulants (heparin, bivalirudin)
  • 6.3.2: Post-MI Care
    • Guideline-directed medical therapy
    • Cardiac rehabilitation and lifestyle changes