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Moderate Risk Acute Coronary Syndrome Management
Aka: Moderate Risk Acute Coronary Syndrome Management, Non-ST elevation MI, Non-Q-Wave MI, Myocardial Ischemia Protocol, NSTEMI- See Also
- Chest Pain
- Cardiac Risk Factors
- Angina
- Angina Diagnosis
- Unstable Angina
- TIMI Risk Score
- Bosner Chest Pain Decision Rule
- Acute Coronary Syndrome
- Acute Coronary Syndrome Immediate Management
- Acute Coronary Syndrome Adjunctive Therapy
- High Risk Acute Coronary Syndrome Management
- Moderate Risk Acute Coronary Syndrome Management
- Low Risk Acute Coronary Syndrome Management
- Myocardial Infarction Stabilization
- Serum Cardiac Markers
- Electrocardiogram in Myocardial Infarction
- Echocardiogram in Myocardial Infarction
- Goldman Criteria for ICU Chest Pain Admission
- Criteria: Myocardial Ischemia (Unstable Angina)
- ST Depression >1 mm
- Symmetrical T-wave inversion in precordial leads
- Dynamic ST segment and T Wave changes with pain
- Management
- See MI Adjunctive Therapy
- Strongly consider Glycoprotein IIB/IIIA Inhibitor
- Indicated for risk factors below
- Indications: High Risk Patients Requiring Cardiac Angiography
- Persistent symptoms
- Recurrent Myocardial Ischemia
- Diffuse or widespread EKG changes
- Depressed Left Ventricular function
- Congestive Heart Failure
- Serum Cardiac Marker Increased
- Troponin Increased
- CK-MB Increased
- References
Myocardial Ischemia (C0151744) |
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|---|---|
| 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) |
Non-Q wave MI (C0860155) |
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|---|---|
| Concepts | Disease or Syndrome (T047) |
| Dutch | non-Q-golf MI |
| French | IM sans onde Q |
| German | MI ohne Q-Welle |
| Italian | Infarto miocardico non-Q |
| Portuguese | EM sem onda Q |
| Spanish | IM sin onda Q |
| Japanese | 非Ｑ波心筋梗塞, ﾋQﾊｼﾝｷﾝｺｳｿｸ |
| Czech | Non-Q IM |
| English | non-q wave mi, non q wave mi, mi non q wave, mi non-q wave, Non-Q wave MI |
| Hungarian | Nem-Q hullám MI |
| Sources |
Derived from the NIH UMLS (Unified Medical Language System) |
Acute Coronary Syndrome (C0948089) |
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|---|---|
| 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, ｷｭｳｾｲｶﾝﾄﾞｳﾐｬｸｼｮｳｺｳｸﾞﾝ |
| 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) |
Acute non-ST segment elevation myocardial infarction (C1276061) |
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|---|---|
| Definition (NCI) | A myocardial infarction that does not produce elevations in the ST segment of the EKG. |
| Concepts | Disease or Syndrome (T047) |
| SnomedCT | 401314000 |
| English | acute non-ST elevation myocardial infarction (diagnosis), acute non-STEMI, non-ST elevation myocardial infarction, acute non-ST elevation MI, acute non-ST elevation myocardial infarction, NSTEMI, Non-ST Elevation Myocardial Infarction, Acute non-ST segment elevation myocardial infarction (disorder), Acute non-ST segment elevation myocardial infarction, NSTEMI - Non-ST segment elevation MI |
| Spanish | infarto agudo de miocardio sin elevación del segmento ST (trastorno), infarto agudo de miocardio sin elevación del segmento ST |
| Sources |
Derived from the NIH UMLS (Unified Medical Language System) |