scholarly journals PERAN PERAWAT DALAM IDENTIFIKASI DINI DAN PENATALAKSANAAN PADA ACUTE CORONARY SYNDROME

2018 ◽  
Vol 8 (2) ◽  
Author(s):  
Nur Ainiyah
Keyword(s):  
Acute Coronary Syndrome ◽  
Chest Pain ◽  
Nursing Care ◽  
Early Identification ◽  
Literature Search ◽  
Ecg Changes ◽  
Knowledge And Skills ◽  
Coronary Syndrome

The role of nurses in the early identification and treatment on Acute Coronary Syndrome. Introduction : Acute Coronary Syndrome ( ACS ) is an emergency in the coronary arteries . Nurses are very necessary to provide treatment of acute coronary syndrome accurately and precisely both prehospital and intrahospital . Methods: The literature search from April 2006 through April 2016 in MEDLINE, NCBI, CINAHL using key words : Acute Coronary Syndrome, treatment and does not restrict the research sampling. Results: Based on the literature review 10 obtained the enforcement of early diagnosis of ACS should be done immediately, which can be done by looking of three criteria: chest pain, ECG changes and sign biochemical (biomarker serum). Discussion: The nursing care must have role in the management of ACS. Therefore the quality of care given depends on the knowledge and skills of nurses both prehospital and intrahospital

scholarly journals To Perform Thrombolysis or Not: A Case of Acute Pancreatitis Presenting with Chest Pain and Transient Left Bundle Branch Block

2010 ◽  
Vol 2010 ◽  
pp. 1-3 ◽  
Author(s):  
S. Ullah ◽  
S. Mehmood ◽  
H. A. Chatha ◽  
A. Mahmood
Keyword(s):  
Acute Pancreatitis ◽  
Acute Coronary Syndrome ◽  
Chest Pain ◽  
Serum Amylase ◽  
Suspected Case ◽  
Ecg Changes ◽  
Bundle Branch Block ◽  
Coronary Syndrome ◽  
Laboratory Results ◽  
New Onset

A suspected case of acute coronary syndrome presented with new-onset left bundle branch and first-degree heart blocks. The decision to thrombolyse was reverted as ECG changes proved to be transient within fifteen minutes of presentation. Later on the patient was diagnosed with acute pancreatitis based on laboratory results of serum amylase, confirmed on radiological investigations.

Platelet glycoprotein VI (GPVI) for early identification of acute coronary syndrome in patients with chest pain

2010 ◽  
Vol 125 (5) ◽  
pp. e184-e189 ◽  
Author(s):  
Boris Bigalke ◽  
Michael Haap ◽  
Konstantinos Stellos ◽  
Tobias Geisler ◽  
Peter Seizer ◽  
...  
Keyword(s):  
Acute Coronary Syndrome ◽  
Chest Pain ◽  
Early Identification ◽  
Platelet Glycoprotein ◽  
Glycoprotein Vi ◽  
Coronary Syndrome

scholarly journals Evaluation of applying chest pain guidelines in coronary care patients on their health outcome

2017 ◽  
Vol 6 (2) ◽  
pp. 99
Author(s):  
Eman Shahin ◽  
Mona Hasan
Keyword(s):  
Health Outcome ◽  
Acute Coronary Syndrome ◽  
Chest Pain ◽  
Nursing Care ◽  
University Hospital ◽  
Respiratory Pattern ◽  
P Value ◽  
Coronary Syndrome ◽  
Study Results ◽  
Coronary Care

Background: the National Heart, Lung, and blood Institute estimate that each year approximately 785,000 Americans will have a new coronary attack and approximately 470,000 will have a recurrent attack. Chest pain is one of the most common symptoms   of coronary artery disease or acute coronary syndrome. Objectives: this study aims to compare between routine nursing care of chest pain and chest pain guidelines in patients with acute coronary syndrome and assess health outcome after application of chest pain guidelines in acute coronary syndrome patients. Method: Quasi experimental research design was used in the current study. The study was conducted at the coronary care unit of Suez canal University Hospital. Sample; consecutive of 70 patients was included in the study.  Four tools were used for study data collection that named the chest pain guidelines evidence based nursing care in patients with angina pectoris, visual analog scale to assess chest pain, dyspnea scale to assess breathing pattern and fourth one was lab investigation to assess patient health prognosis. Results: The study results revealed an improvement of patients’ health outcome represented in a significant reduction in complain of chest pain, blood pressure and insufficient sleeping with P-value of 0.000 after applying guidelines of care regarding chest pain. Additionally, the respiratory pattern and respiratory rate improved significantly with P-value of 0.000. Moreover, lab investigation showed significantly decrease in LHD level with P-value of 0.000. Conclusion: The current study concluded that application of chest pain guidelines intervention could be improved patients health outcomes.        

scholarly journals Role of High-sensitivity Cardiac Troponin in Acute Coronary Syndrome

2019 ◽  
Vol 13 (1) ◽  
pp. 5-10 ◽  
Author(s):  
Mahesh Anantha Narayanan ◽  
Santiago Garcia
Keyword(s):  
Acute Coronary Syndrome ◽  
Chest Pain ◽  
Literature Review ◽  
Cardiac Troponin ◽  
High Sensitivity ◽  
Emergency Setting ◽  
Coronary Syndrome ◽  
The Us ◽  
Rule Out

Chest pain is one of the most common reasons for an emergency room (ER) visit in the US, with almost 6 million ER visits annually. High-sensitivity cardiac troponin (hscTn) assays have the ability to rapidly rule in or rule out acute coronary syndrome with improved sensitivity, and they are increasingly being used. Though hscTn assays have been approved for use in European, Australian, and Canadian guidelines since 2010, the FDA only approved their use in 2017. There is no consensus on how to compare the results from various hscTn assays. A literature review was performed to analyze the advantages and limitations of using hscTn as a standard biomarker to evaluate patients with suspected ACS in the emergency setting.

scholarly journals Current Role of Computed Tomography in the Evaluation of Acute Coronary Syndrome

Diagnostics ◽  
2021 ◽  
Vol 11 (2) ◽  
pp. 266
Author(s):  
Min Ji Son ◽  
Seung Min Yoo ◽  
Dongjun Lee ◽  
Hwa Yeon Lee ◽  
In Sup Song ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Emergency Department ◽  
Acute Coronary Syndrome ◽  
Chest Pain ◽  
Acute Chest Pain ◽  
Review Article ◽  
Current Role ◽  
Coronary Syndrome ◽  
Ct Findings

This review article provides an overview regarding the role of computed tomography (CT) in the evaluation of acute chest pain (ACP) in the emergency department (ED), focusing on characteristic CT findings.

scholarly journals Alternating Bundle Branch Block or Pyridostigmine-induced Mobitz Type II Block Masquerading as Acute Coronary Syndrome

2020 ◽  
Vol 3 (2) ◽  
pp. 63-66
Author(s):  
Ashima Sharma ◽  
Akula Hymavathi ◽  
Sarat C Uppaluri
Keyword(s):  
Acute Coronary Syndrome ◽  
Chest Pain ◽  
Acute Ischemia ◽  
Type Ii ◽  
Ecg Changes ◽  
Bundle Branch Block ◽  
Coronary Syndrome ◽  
Bundle Branch Blocks ◽  
Artery Disease ◽  
Mobitz Type

ABSTRACT Background “ST-T changes in the ECG!!” These words are enough to get the emergency doctor to spring into action. These changes can be diffuse and/or non-specific but we should rule out all emergent and urgent causes before shifting the patient to the specialist. To err on the side of dangerous etiology is the dictum. Introduction Out of all emergency department (ED) patients with undifferentiated chest pain, 7% will have ECG findings consistent with acute ischemia or infarction, and 6–10% of those in whom cardiac markers are ordered will have initially positive results. Of all patients with the possible acute coronary syndrome (ACS), 5–15% ultimately prove to have ACS.1 Shortness of breath with chest pain mostly has a cardiac origin in the presence of dynamic ECG changes. We had managed a patient with rapidly evolving ECG changes, chest pain, palpitations, and grade III–IV dyspnea. In the chaotic environment of a busy ED, the most probable diagnosis here will be ACS. Comorbid conditions like diabetes mellitus, hypertension, and prior coronary artery disease (CAD) are commonly enquired. However, other long-standing illnesses like myasthenia gravis (MG), as in our patient can be easily missed if a patient is not forthcoming with history. We experienced a similar confusion when in the cacophony of chest pain, dyspnea, and T wave inversions with bundle branch blocks, ACS protocol was initiated and a simple diagnosis was missed. The significance of the alternating bundle branch block (ABBB) will be presented to the readers. How to cite this article Hymavathi A, Uppaluri SC, Sharma A. Alternating Bundle Branch Block or Pyridostigmine-induced Mobitz Type II Block Masquerading as Acute Coronary Syndrome. J Med Acad 2020;3(2):63–66.

scholarly journals Gastroenterological Perspectives on Acute Cardiac Care — the Management of Patients with Implanted Coronary Stents Following an Acute Coronary Syndrome

2018 ◽  
Vol 4 (1) ◽  
pp. 8-16
Author(s):  
Anca Negovan ◽  
András Mester ◽  
Dan Dumitrașcu
Keyword(s):  
Acute Coronary Syndrome ◽  
Chest Pain ◽  
Gastrointestinal Disease ◽  
Daily Practice ◽  
Coronary Stents ◽  
Coronary Syndrome ◽  
Digestive Diseases ◽  
Gastrointestinal Side Effects ◽  
Unhealthy Diet

Abstract Cardiovascular and digestive diseases frequently share the same risk factors such as obesity, unhealthy diet, or several social behaviors, and the increasing prevalence of patients with overlapped cardiovascular and digestive symptoms is a challenging problem in the daily practice. Patients with gastro-esophageal reflux disease can exhibit various forms of chest pain that can be very similar to angina. Furthermore, antithrombotic therapies used for preventive or curative purposes in patients with cardiovascular diseases are frequently associated with gastrointestinal side effects including bleeding. At the same time, in patients with coronary stents presenting to the emergency department with chest pain, angina triggered by stent thrombosis or restenosis should be differentiated from angina-like symptoms caused by a gastrointestinal disease. The aim of this review was to present the complex inter-relation between gastroesophageal diseases and angina in patients on dual antiplatelet therapy following an acute coronary syndrome, with a particular emphasis on the role of anemia resulting from occult or manifest gastrointestinal bleeding, as a precipitating factor for triggering or aggravating angina.

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