Bài giảng xử trí cấp cứu hội chứng vành cấp TS BS nguyễn ngọc quang

xử trí cấp cứu hội chứng vành cấp

Foam

Cells Fatty Streak Intermediate Lesion Atheroma Fibrous Plaque Complicated Lesion/Rupture

Endothelial Dysfunction

Smooth muscle and collagen

From first decade From third decade From fourth decade

Adapted from Stary HC et al Circulation 1995;92:1355-1374

UA/NSTEMI

•  Yeh RW et al N Engl J Med 2010;362:2155-2165

•  Yeh RW et al N Engl J Med 2010;362:2155-2165

CK- MB or Troponin Troponin elevated or not

Adapted from Michael Davies

Before Infarct After Infarct

Lost Muscle

• IMA

• Choline Early injury markers:

• Myoglobin

• FABP

• Hs Troponins Injury markers:

• Troponins Ventricular overload markers:

• Natriuretic peptide (BNP) Pure risk markers:

• MPO

• CRP

• 

–  –  –  – 

•  

• 

• 

• 

• 

phạm

Hamm CW et al Eur Heart J 2011;eurheartj.ehr236

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