Cardiovascular Medicine Book

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Acute Coronary Syndrome

Aka: Acute Coronary Syndrome, Myocardial Ischemia, Myocardial Infarction, Coronary Artery Disease, Atherosclerotic Heart Disease
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  1. See Also
    1. Chest Pain
    2. Cardiac Risk Factors
    3. Angina
    4. Angina Diagnosis
    5. Unstable Angina
    6. TIMI Risk Score
    7. Acute Coronary Syndrome
    8. Acute Coronary Syndrome Immediate Management
    9. Acute Coronary Syndrome Adjunctive Therapy
    10. High Risk Acute Coronary Syndrome Management
    11. Moderate Risk Acute Coronary Syndrome Management
    12. Low Risk Acute Coronary Syndrome Management
    13. Myocardial Infarction Stabilization
    14. Serum Cardiac Markers
    15. Electrocardiogram in Myocardial Infarction
    16. Echocardiogram in Myocardial Infarction
    17. Goldman Criteria for ICU Chest Pain Admission
  2. Risk Factors
    1. See Cardiac Risk Factors
  3. Epidemiology
    1. Prevalence of CAD in U.S.: 64 million (2001)
    2. Incidence of acute MI in U.S.: 1.2 million yearly
    3. No prior coronary symptoms in >50% with fatal acute MI
    4. Coronary deaths account for 20% of all deaths in U.S.
  4. Pathophysiology: Atherosclerotic Plaque
    1. Form over 10-15 years in response to vascular injury
      1. Significant Plaque present in 75% of age >25 years
    2. Lipid core (atheroma)
      1. Injured endothelium attracts Macrophages
      2. Macrophages resorb LDL Cholesterol fatty streaks
      3. Lipids transform Macrophages into foam cells
    3. Surrounding wall (fibroatheroma)
      1. Surrounds lipid core
      2. Composed of fibroblasts and smooth muscle cells
    4. Acute MI or Acute Coronary Syndrome
      1. Occurs on Plaque rupture; results in vessel Occlusion
  5. Symptoms
    1. TIMI Risk Score
    2. See Angina Diagnosis
      1. Reviews the likelihood that Chest Pain due to heart
    3. Asymptomatic in 25% of Myocardial Infarctions
    4. MI Chest Pain similar to Angina
      1. Deep, poorly localize chest ache
        1. Worse with activity
        2. Better with rest and Nitroglycerin
      2. Radiation
        1. Arm, Shoulder, hand or upper back
        2. Neck, jaw or throat
    5. Distinguishing features of MI Chest Pain
      1. More intense than Angina
      2. More persistent than Angina (>30 minutes)
      3. Not fully relieved by palliative measures
        1. Rest
        2. Nitroglycerin (3 consecutive doses)
      4. Accompanied by systemic symptoms
        1. Nausea
        2. Sweating
        3. Apprehension
  6. Signs
    1. Pallor
    2. Diaphoresis
    3. Tachycardia
    4. S4 Gallup Rhythm
    5. Signs of Congestive Heart Failure may also be present
      1. Rales on Lung Examination
      2. S3 Gallup Rhythm
    6. Jugular Venous Distention
      1. Seen in Right Ventricular Infarction
  7. Differential Diagnosis
    1. See Chest Pain
    2. Pericarditis
    3. Aortic Dissection
    4. Gastroesophageal Reflux disease
    5. Cholecystitis
    6. Cholelithiasis
  8. Diagnosis
    1. Serum Cardiac Markers
    2. Electrocardiogram in Myocardial Infarction
    3. Echocardiogram in Myocardial Infarction
  9. Management
    1. See Immediate Myocardial Infarction Management
    2. See Goldman Criteria for ICU Chest Pain Admission
    3. Myocardial Infarction Stabilization
    4. Cardiac Rehabilitation
  10. Complications
    1. Arrhythmia
      1. Ventricular Fibrillation
      2. Accelerated Idioventricular Rhythm
      3. Bradyarrhythmia
      4. Atrioventricular Block
    2. Congestive Heart Failure
    3. Cardiogenic Shock
    4. Acute Mechanical Complications
      1. Ventricular Septal Rupture
      2. Acute Mitral Regurgitation
    5. Pericarditis
    6. Ventricular aneurysm
    7. Recurrent Angina
    8. Dressler's Syndrome

Coronary Arteriosclerosis (C0010054)

Definition (MSH) Thickening and loss of elasticity of the CORONARY ARTERIES, leading to progressive arterial insufficiency (CORONARY DISEASE).
Concepts Disease or Syndrome (T047)
MSH D003324
ICD9 414.0
ICD10 I25.1, K76.1, I25.10
SnomedCT 266231003, 155316000, 53741008, 194841001, 155315001, 194795001, 266290000, 41702007
English ATHEROSCLEROTIC CORONARY VASCULAR DISEASE, Arterioscleroses, Coronary, Arteriosclerosis, Coronary, Coronary Arterioscleroses, Coronary Arteriosclerosis, ASHD, ATHEROSCLEROTIC HEART DISEASE, CORONARY ARTERIOSCLEROSIS, CORONARY ATHEROSCLEROSIS, CORONARY SCLEROSIS, Coronary atherosclerosis, ARTERIOSCLEROTIC HEART DISEASE, Atherosclerotic heart disease, ARTERIOSCLEROSIS CORONARY ARTERY, Arteriosclerotic coronary artery disease, Coronary atheroma, coronary arteriosclerosis (diagnosis), ashd, coronary arteriosclerosis, CORONARY ATHEROSCLEROTIC HEART DISEASE, ASHD - Atherosclerotic heart disease, Cardiac sclerosis, Coronary (artery) atherosclerosis, Coronary (artery) sclerosis, cardiac ischemia, myocardial ischemia, Disease;atherosclerotic;heart, arteriosclerotic heart disease, cardiac ischaemia, coronary atheroma, coronary sclerosis, ischaemic heart disease, coronary heart disease, myocardial ischaemia, coronary artery atherosclerosis, coronary artery diseases, coronary artery disease, coronary atherosclerosis, CAD, Atherosclerotic heart disease NOS, cardiac; sclerosis, coronary; arteriosclerosis, coronary; sclerosis, disease (or disorder); arteriosclerotic, coronary (artery), disease (or disorder); arteriosclerotic, heart, heart; arteriosclerosis, sclerosis; cardiac, sclerosis; coronary, arteriosclerosis; coronary (artery), arteriosclerosis; coronary, arteriosclerosis; heart, Atheroscleroses, Coronary, Atherosclerosis, Coronary, Coronary Atheroscleroses, Coronary Atherosclerosis, Arteriosclerotic heart disease, Coronary arteriosclerosis, Coronary sclerosis, Coronary arteriosclerosis (disorder), Coronary atherosclerosis (disorder), Coronary artery arteriosclerosis, atherosclerotic heart disease, Arteriosclerosis coronary artery, Coronary artery atherosclerosis, Coronary artery sclerosis
German KORONARSKLEROSE, Arteriosklerose der Koronararterie, Koronararterie Sklerose, arteriosklerotische Herzkrankheit, Koronarsklerose, Koronararteriosklerose, Atherosklerotische Herzkrankheit, Koronararteriensklerose, Sklerose, Koronar-
Dutch kransslagaderateriosclerose, kransslagaderatherosclerose, kransslagadersclerose, arteriosclerotische hartaandoening, aandoening; arteriosclerotisch, coronair{arterie}, aandoening; arteriosclerotisch, hart, arteriosclerose; aandoening, coronair{arterie}, arteriosclerose; aandoening, hart, arteriosclerose; coronair, cardiaal; sclerose, coronair; arteriosclerose, coronair; sclerose, hart; arteriosclerose, sclerose; cardiaal, sclerose; coronair, Arteriosclerose, coronaire, Atherosclerose, coronaire, Atherosclerotische hartziekte, Coronaire arteriosclerose, Coronaire atherosclerose, Coronaire hartziekte, Coronairziekte
French Artériosclérose de l'artère coronaire, Sclérose de l'artère coronaire, Athérosclérose artérielle coronaire, Athérosclérose coronaire, Sclérose coronaire, Maladie cardiaque artérioscléreuse, SCLEROSE CORONAIRE, Artériosclérose coronaire, Artériosclérose coronarienne, Athérosclérose coronarienne, Artériosclérose des artères coronaires, Artériosclérose des coronaires, Athérosclérose des artères coronaires, Athérosclérose des coronaires
Italian Arteriosclerosi dell'arteria coronaria, Sclerosi coronarica, Stenosi dell'arteria coronaria, Aterosclerosi coronarica, Aterosclerosi dell'arteria coronaria, Cardiopatia arteriosclerotica, Arteriosclerosi coronarica
Portuguese Arteriosclerose das coronárias, Esclerose coronária, Aterosclerose das artérias coronárias, Esclerose das artérias coronárias, Aterosclerose coronária, Cardiopatia arteriosclerótica, ESCLEROSE CORONARIA, Arteriosclerose Coronária, Aterosclerose Coronária
Spanish Arterioesclerosis de la arteria coronaria, Ateroesclerosis de la arteria coronaria, Esclerosis coronaria, Esclerosis de la arteria coronaria, Ateroesclerosis coronaria, esclerosis coronaria, ateroesclerosis coronaria (trastorno), Arteriosclerotic heart disease, Atherosclerotic heart disease, Coronary atherosclerosis, CORONARIA, ESCLEROSIS, Arteriosclerosis Coronaria, arteriosclerosis coronaria (trastorno), ateroesclerosis coronaria, arteriosclerosis coronaria, arterioesclerosis coronaria, Enfermedad arterioesclerotica cardiaca, enfermedad ateroesclerótica cardíaca, enfermedad aterosclerótica cardíaca, Aterosclerosis Coronaria
Japanese 冠血管硬化症, 冠状動脈粥状硬化症, 冠動脈粥状硬化症, 動脈硬化性心疾患, カンジョウドウミャクジュクジョウコウカショウ, カンドウミャクコウカショウ, カンケッカンコウカショウ, カンドウミャクジュクジョウコウカショウ, ドウミャクコウカセイシンシッカン, アテローム硬化症-冠状, 冠状動脈硬化, 冠状アテローム硬化症, 冠状動脈アテローム硬化, 冠状動脈硬化症, 冠動脈アテローム硬化, 冠動脈硬化症, 動脈硬化症-冠状動脈, 冠動脈アテローム性硬化, 冠状動脈アテローム性硬化症, 冠動脈硬化, 冠状動脈アテローム性硬化
Czech koronární arterioskleróza, Arterioskleróza koronárních tepen, Koronární skleróza, Arteriosklerotické onemocnění srdce, Ateroskleróza koronárních arterií, Skleróza koronární arterie, Koronární ateroskleróza
Korean 죽상경화성 심장병
Croatian KORONARNA ARTERIOSKLEROZA
Hungarian Coronaria atherosclerosis, Arteria cor onaria arteriosclerosis, Coronariasclerosis, Arteria coronaria atherosclerosis, Szív arterioscleroticus betegsége, Arteria coronaria sclerosis
Sources
Derived from the NIH UMLS (Unified Medical Language System)


Myocardial Infarction (C0027051)

Definition (NCI) A disorder characterized by gross necrosis of the myocardium; this is due to an interruption of blood supply to the area.
Definition (NCI) Gross necrosis of the myocardium, as a result of interruption of the blood supply to the area, as in coronary thrombosis.
Definition (MEDLINEPLUS)

Each year over a million people in the U.S. have a heart attack. About half of them die. Many people have permanent heart damage or die because they don't get help immediately. It's important to know the symptoms of a heart attack and call 9-1-1 if someone is having them. Those symptoms include

  • Chest discomfort - pressure, squeezing, or pain
  • Shortness of breath
  • Discomfort in the upper body - arms, shoulder, neck, back
  • Nausea, vomiting, dizziness, lightheadedness, sweating

These symptoms can sometimes be different in women.

What exactly is a heart attack? Most heart attacks happen when a clot in the coronary artery blocks the supply of blood and oxygen to the heart. Often this leads to an irregular heartbeat – called an arrhythmia - that causes a severe decrease in the pumping function of the heart. A blockage that is not treated within a few hours causes the affected heart muscle to die.

NIH: National Heart, Lung, and Blood Institute

Definition (CSP) gross necrosis of the myocardium, as a result of interruption of the blood supply to the area.
Definition (NCI) Gross necrosis of the myocardium, as a result of interruption of the blood supply to the area, as in coronary thrombosis.
Definition (MSH) NECROSIS of the MYOCARDIUM caused by an obstruction of the blood supply to the heart (CORONARY CIRCULATION).
Concepts Disease or Syndrome (T047)
MSH D009203
ICD10 I22, I21
SnomedCT 233824008, 22298006, 155304006, 266288001, 66514008, 194796000
English Myocardial Infarct, Infarctions, Myocardial, Myocardial Infarction, Myocardial Infarctions, Infarcts, Myocardial, Myocardial Infarcts, HEART ATTACK, HEART INFARCTION, INFARCT MYOCARDIAL, Infarct, Myocardial, Infarction, Myocardial, MYOCARDIAL INFARCT, MYOCARDIAL INFARCTION, Cardiac infarction, NOS, Heart attack, NOS, Infarction of heart, NOS, Myocardial infarction, NOS, MI, ATTACK CORONARY, ATTACK HEART (NOS), Myocardial infarction syndrome, Myocardial infarction (MI), mi, Attack heart (NOS), Infarct myocardial, Heart Attack, INFARCTION (MI), MYOCARDIAL, MYOCARDIAL INFARCTION, (MI), MI, MYOCARDIAL INFARCTION, cardiac infarction, Myocardial Infarction [Disease/Finding], AMI, attacking heart, heart attacks, attack hearts, infarctions myocardial, infarcts myocardial, myocardial infarctions, Infarction;heart, myocardial infarcts, Infarction;myocardial, attacks coronary, attacks hearts, coronary attack, disorder infarction myocardial, mied, myocardial necrosis, syndrome myocardial infarction, mies, Myocardial infarct, Myocardial infarction, Heart attack, MI - Myocardial infarction, Cardiac infarction, Infarction of heart, Myocardial infarction (disorder), cardiac; infarction, infarction; myocardial, Attack - heart, Heart Attacks, Infarctions (Myocardial), Myocardial infarction NOS, Attack coronary, myocardial infarction, heart attack, heart infarction
German MYOKARDINFARKT, Koronarattacke, Herzanfall, MI, Herzanfall (NNB), HERZANFALL, Herzinfarkt, Myokardinfarkt
Dutch hartaanval, hartinfarct, hartaanval (NAO), MI, cardiaal; infarct, infarct; myocard, myocardinfarct, Hartinfarct, Infarct, myocard-, Myocardinfarct
French Crise coronaire, IM, Crise cardiaque SAI, Crise cardiaque, CRISE CARDIAQUE, INFARCTUS DU MYOCARDE, IDM (Infarctus Du Myocarde), Infarctus du myocarde, Infarctus myocardique
Italian MI, Attacco cardiaco, Attacco coronarico, Attacco cardiaco (NAS), Infarto del miocardio, Infarto miocardico
Portuguese Ataque coronário, Ataque do coração, Ataque cardíaco NE, EM, ATAQUE CARDIACO, ENFARTO DO MIOCARDIO, Enfarte do miocárdio, Infarto do Miocárdio
Spanish IM, Crisis coronaria, Ataque al corazón, Ataque al corazón (NEOM), Infarto miocárdico, Heart attack, Attack - heart, Myocardial infarct, Myocardial infarction, ATAQUE CARDIACO, INFARTO DE MIOCARDIO, Infarto al Miocardio, ataque al corazón, infarto cardíaco, infarto de corazón, infarto de miocardio (trastorno), infarto de miocardio, Infarto de miocardio, Infarto del Miocardio
Japanese 心臓発作(NOS), 冠発作, 心臓発作, カンホッサ, シンゾウホッサNOS, シンゾウホッサ, シンキンコウソク, 冠状動脈梗塞, 心筋梗塞, 冠動脈梗塞, 心筋梗塞症
Swedish Hjärtinfarkt
Czech infarkt myokardu, Srdeční záchvat, Srdeční záchvat (NOS), IM, Koronární záchvat, Infarkt myokardu
Finnish Sydäninfarkti
Russian INFARKT MIOKARDA, ИНФАРКТ МИОКАРДА
Croatian SRČANI INFARKT
Polish Świeży zawał serca, Zawał serca świeży, Zawał mięśnia sercowego, Zawał serca
Hungarian Coronaria roham, Szívroham (k.m.n.), Szívroham, Infarctus myocardii, Szívizom infarctus, MI
Sources
Derived from the NIH UMLS (Unified Medical Language System)


Myocardial Ischemia (C0151744)

Definition (CSP) blood deficiency in the myocardium caused by a constriction or obstruction of its blood vessels; frequently occurs in conjunction with hypoxia, which is reduction in oxygen supply.
Definition (NCI) A disorder of cardiac function caused by insufficient blood flow to the muscle tissue of the heart. The decreased blood flow may be due to narrowing of the coronary arteries, to obstruction by a thrombus, or less commonly, to diffuse narrowing of arterioles and other small vessels within the heart. Severe interruption of the blood supply to the myocardial tissue may result in necrosis of cardiac muscle (myocardial infarction).
Definition (MSH) A disorder of cardiac function caused by insufficient blood flow to the muscle tissue of the heart. The decreased blood flow may be due to narrowing of the coronary arteries (CORONARY ARTERY DISEASE), to obstruction by a thrombus (CORONARY THROMBOSIS), or less commonly, to diffuse narrowing of arterioles and other small vessels within the heart. Severe interruption of the blood supply to the myocardial tissue may result in necrosis of cardiac muscle (MYOCARDIAL INFARCTION).
Concepts Disease or Syndrome (T047)
MSH D017202
ICD9 410-414.99
ICD10 I20-I25.9, I20-I25
SnomedCT 195540001, 2610009, 155322009, 155303000, 233822007, 271430002, 194878003, 194795001, 414545008, 414795007, 41702007, 32598000
English Disease, Ischemic Heart, Diseases, Ischemic Heart, Heart Disease, Ischemic, Heart Diseases, Ischemic, Ischemic Heart Disease, Ischemic Heart Diseases, Ischemia, Myocardial, Myocardial Ischemia, ISCHEMIA MYOCARDIAL, MYOCARDIAL ISCHAEMIA, Ischemias, Myocardial, Myocardial Ischemias, HEART, ISCHEMIC DISEASE, MYOCARDIAL ISCHEMIA, ISCHEMIC HEART DISEASES, Ischemic heart disease, NOS, Ischaemic heart disease NOS, Ischaemic heart diseases, Ischemic heart disease NOS, Ischemic heart diseases, Ischaemic heart disease, NOS, Myocardial ischaemia, NOS, Myocardial ischemia, NOS, Ischemic heart disease or syndrome, Ischemic Heart Diseases and Syndromes, HEART DIS ISCHEMIC, ISCHEMIC HEART DIS, Cardiac ischaemia, myocardial ischemia (diagnosis), 3-14-15 ISCHEMIC HEART DISEASES, myocardial ischemia, Ischaemic heart disease (disorder), Ischaemic heart disease NOS (disorder), Myocardial ischaemia (disorder), IHD, Ischemia myocardial, Ischemic heart disease NOS (disorder), ISCHEMIC HEART DISEASE, DISEASE, ISCHEMIC HEART, HEART DISEASE, ISCHEMIC, Myocardial Ischemia [Disease/Finding], cardiac ischaemia, Disease;ischaemic heart, ihd, cardiac ischemia, myocardial ischaemia, myocardial ischemia/hypoxia, Ischemic heart diseases (I20-I25), Ischaemia myocardial, ischemia; heart, ischemia; myocardial, myocardium; ischemic, Ischemic heart disease, IHD - Ischaemic heart disease, IHD - Ischemic heart disease, Ischaemic heart disease, Myocardial ischaemia, Myocardial ischemia, Cardiac ischemia, Ischemic heart disease (disorder), Myocardial ischemia (disorder), ischemic heart disease, Disease;ischemic heart, ischaemic heart disease
Portuguese ISQUEMIA MIOCARDICA, Isquemia cardíaca, Isquemia do miocárdio, Cardiopatia isquémica, Cardiopatia Isquêmica, Isquemia miocárdica, Doença Isquêmica do Coração, Isquemia Miocárdica
Spanish ISQUEMIA MIOCARDICA, ECI, Isquemia miocárdica, Enfermedad isquémica cardiaca, Isquemia cardiaca, Cardiopatía isquémica, Myocardial ischaemia, IHD - Ischemic heart disease, IHD - Ischaemic heart disease, Ischemic heart disease, Ischaemic heart disease, Ischaemic heart disease NOS, Myocardial ischemia, Ischemic heart disease NOS, cardiopatía isquémica (concepto no activo), cardiopatía isquémica, SAI (trastorno), cardiopatía isquémica, SAI, enfermedad cardíaca isquémica, SAI, enfermedad cardíaca isquémica, Isquemia de miocardio, cardiopatía isquémica (trastorno), cardiopatía isquémica, enfermedad isquémica del corazón, isquemia miocárdica (trastorno), isquemia miocárdica, Cardiopatía Isquémica, Isquemia Miocárdica, Cardiopatia Isquemica, Isquemia Miocardica
Dutch hartischemie, IHD, ischemische hartziekte, ischemie myocard, ischemische hartaandoening, ischemie; hart, ischemie; myocard, myocard; ischemie, myocardischemie, Hartziekte, ischemische, Ischemie, myocard-, Ischemische hartziekte, Myocardischemie
French Ischémie cardiaque, Maladie cardiaque ischémique, IC, Cardiopathie ischémique, ISCHEMIE DU MYOCARDE, Ischémie myocardique, Ischémie du myocarde
German Myokardischaemie, ischaemische Herzkrankheit, IHD, kardiale Ischaemie, MYOKARDIALE ISCHAEMIE, myokardiale Ischaemie, Herzkrankheit, ischämische, Herzmuskelischämie, Ischämie, Myokard-, Ischämische Herzkrankheit, Myokardischämie
Italian Cardiopatia ischemica, Ischemia cardiaca, Ischemia miocardica
Japanese 心虚血, シンキョケツ, キョケツセイシンシッカン, シンキンキョケツ, 心筋虚血, 虚血-心筋, 虚血性心疾患, 心疾患-虚血性, 心臓疾患-虚血性, 虚血性心臓疾患
Swedish Myokardischemi
Finnish Sydänlihaksen iskemia
Russian ISHEMICHESKAIA BOLEZN' SERDTSA, SERDTSA ISHEMICHESKAIA BOLEZN', ISHEMIIA MIOKARDA, MIOKARDA ISHEMIIA, MIOKARDIAL'NAIA ISHEMIIA, ИШЕМИЧЕСКАЯ БОЛЕЗНЬ СЕРДЦА, ИШЕМИЯ МИОКАРДА, МИОКАРДА ИШЕМИЯ, МИОКАРДИАЛЬНАЯ ИШЕМИЯ, СЕРДЦА ИШЕМИЧЕСКАЯ БОЛЕЗНЬ
Czech Ischemie myokardu, Myokardiální ischemie, Ischemická choroba srdeční, Srdeční ischemie, ischémie myokardu, myokard - ischémie, ICHS, ischemická choroba srdeční
Croatian MIOKARD, ISHEMIJA
Polish Niedokrwienie mięśnia sercowego
Hungarian Cardialis ischaemia, Szív ischaemia, Szív ischaemiás betegsége, myocardialis ischaemia, Ischaemiás szívbetegség, Szívizom ischaemiája, Szívizom ischaemia, ISzB
Sources
Derived from the NIH UMLS (Unified Medical Language System)


Acute Coronary Syndrome (C0948089)

Definition (NCI) Signs and symptoms related to acute ischemia of the myocardium secondary to coronary artery disease. The clinical presentation covers a spectrum of heart diseases from unstable angina to myocardial infarction.
Definition (NCI) A disorder characterized by signs and symptoms related to acute ischemia of the myocardium secondary to coronary artery disease. The clinical presentation covers a spectrum of heart diseases from unstable angina to myocardial infarction.
Definition (MSH) An episode of MYOCARDIAL ISCHEMIA that generally lasts longer than a transient anginal episode that ultimately may lead to MYOCARDIAL INFARCTION.
Concepts Disease or Syndrome (T047)
MSH D054058
SnomedCT 393587009, 394659003
Japanese 急性冠動脈症候群, キュウセイカンドウミャクショウコウグン
English Coronary Syndromes, Acute, Syndromes, Acute Coronary, Acute Coronary Syndromes, Acute Coronary Syndrome, Syndrome, Acute Coronary, Coronary Syndrome, Acute, Acute Coronary Syndrome [Disease/Finding], acute coronary syndromes, syndrome acute coronary, acute coronary syndrome, Acute coronary syndrome, Acute coronary syndrome (disorder), ACS - Acute coronary syndrome
Portuguese Síndrome Coronariana Aguda, Síndrome coronário agudo
Spanish Acute coronary syndrome, Sindrome Coronario Agudo, Síndrome Coronario Agudo, síndrome coronario agudo (trastorno), síndrome coronario agudo, Síndrome coronario agudo
Finnish Akuutti sepelvaltimo-oireyhtymä
German Akutes Koronarsyndrom, akutes Koronarsyndrom
Italian Sindrome coronarica acuta
Russian KORONARNYI SINDROM OSTRYI, КОРОНАРНЫЙ СИНДРОМ ОСТРЫЙ
Swedish Akut koronarsyndrom
Czech Akutní koronární syndrom, akutní koronární syndrom
French Syndrome coronaire aigu, SCA (Syndrome Coronarien Aigu), Syndrome coronarien aigu
Polish Zespół wieńcowy ostry
Hungarian Acut coronaria syndroma
Dutch acuut coronairsyndroom
Sources
Derived from the NIH UMLS (Unified Medical Language System)


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