Multiprofessional Critical Care Review: Adult 2024 (MCCRCA24ON)-4: Acute Coronary Syndromes (Steven M. Hollenberg, MD, FACC, FAHA, FCCP)

4: Acute Coronary Syndromes (Steven M. Hollenberg, MD, FACC, FAHA, FCCP)

Video Transcription

Video Summary

The video provides an overview of acute coronary syndromes (ACS), including the subtypes of ST-elevation myocardial infarction (STEMI), non-ST-elevation acute coronary syndromes (NSTE-ACS), and unstable angina. The video discusses the pathophysiology, risk stratification, and treatment options for ACS, including reperfusion strategies, antiplatelet and anticoagulant therapies, and the use of adjunctive therapies such as beta blockers and statins. It also covers complications of ACS, including ventricular septal rupture, free wall rupture, acute mitral regurgitation, right ventricular infarction, and pump failure. The importance of secondary prevention after myocardial infarction is emphasized, along with the impact of COVID-19 on ACS management. The video concludes with key points, highlighting the need for timely reperfusion, risk stratification, and individualized management of ACS patients.

Keywords

acute coronary syndromes

ST-elevation myocardial infarction

non-ST-elevation acute coronary syndromes

unstable angina

pathophysiology

reperfusion strategies

complications

secondary prevention

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