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Acute coronary syndromes 

Acute coronary syndromes
Chapter:
Acute coronary syndromes
Author(s):
DOI:
10.1093/med/9780199651344.003.0007
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date: 14 November 2019

Acute coronary syndromes (ACS) refers to a clinical spectrum of the same disease process, and includes unstable angina, non-ST-segment elevation MI (NSTEMI) and ST-segment elevation MI (STEMI). Treatment for this group of patients may be initiated and then continued across a variety of areas which include the pre-hospital/community setting, emergency department, coronary care unit, cardiac catheter laboratory, general ward, and chest pain unit. Nurses will encounter patients with both ST-segment elevation ACS and non-ST-segment elevation ACS at various points in their journey, thus clear and effective communication between healthcare providers across the different areas is imperative. The aim of this chapter is to outline the pathophysiology, methods for rapid diagnosis, and appropriate clinical management of ACS so that it may applied within any area and at any point in the patient’s journey.

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