RT Book, Section
A1 Diercks, Deborah B.
A1 Hollander, Judd E.
A2 Tintinalli, Judith E.
A2 Ma, O. John
A2 Yealy, Donald M.
A2 Meckler, Garth D.
A2 Stapczynski, J. Stephan
A2 Cline, David M.
A2 Thomas, Stephen H.
SR Print(0)
ID 1172675336
T1 Acute Coronary Syndromes
T2 Tintinalli's Emergency Medicine: A Comprehensive Study Guide, 9e
YR 2020
FD 2020
PB McGraw-Hill Education
PP New York, NY
SN 9781260019933
LK accessemergencymedicine.mhmedical.com/content.aspx?aid=1172675336
RD 2020/07/06
AB Ischemic  heart  disease  is  the  leading  cause  of  death  among  adults  in  the  United  States,  with  more  than  400,000  people  dying  annually.  Atherosclerotic  disease  of  the  epicardial  coronary  arteries—termed  coronary  artery  disease—accounts  for  the  vast  majority  of  patients  with  ischemic  heart  disease.  The  predominant  symptom  of  coronary  artery  disease  is  chest  pain,  and  patient  concern  over  potential  acute  heart  disease  contributes  to  the  >8  million  visits  each  year  to  U.S.  EDs.  In  a  typical  adult  ED  population  with  acute  chest  pain,  about  15%  of  patients  will  have  an  acute  coronary  syndrome  (ACS).  ACS  encompasses  unstable  angina  through  acute  myocardial  infarction  (AMI).  Of  patients  with  an  ACS,  approximately  one  third  have  an  AMI,  and  the  remainder  have  unstable  angina.