Xử Trí Hội chứng cấp cứu 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 deca

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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