Acute coronary syndrome (main) - Revision history

Danbot: Move calculators to own section with header (visible in TOC), expanded, before External Links

2026-03-21T15:05:34Z

Move calculators to own section with header (visible in TOC), expanded, before External Links

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 ===Prognosis===
 *[[ACS - Stress Testing]]
 ==External Links==
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 <references/>
 [[Category:Cardiology]]

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Add TIMI UA/NSTEMI calculator (collapsible)

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	<div class="mw-collapsible-content">		<div class="mw-collapsible-content">
	{{HEART_Score_Calculator}}		{{HEART_Score_Calculator}}
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			<div class="mw-collapsible mw-collapsed" style="border:1px solid #aaa; padding:5px; margin-top:10px;">
			<div style="font-weight:bold;">📊 TIMI UA/NSTEMI Calculator [show]</div>
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			{{TIMI_NSTEMI_Calculator}}
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	[[Category:Cardiology]]		[[Category:Cardiology]]

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Add HEART Score calculator (collapsible)

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	<references/>		<references/>


			<div class="mw-collapsible mw-collapsed" style="border:1px solid #aaa; padding:5px; margin-top:10px;">
			<div style="font-weight:bold;">📊 HEART Score Calculator [show]</div>
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			{{HEART_Score_Calculator}}
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	[[Category:Cardiology]]		[[Category:Cardiology]]

2021-03-11T16:18:02Z

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	''For risk stratification see [[ACS - Risk Stratification]]''		''For risk stratification see [[ACS - Risk Stratification]]''
	==Background==		==Background==
	~~[[File:MI types.png\|thumbnail\|Myocardial Infarction types]]~~
	*Abbreviation: ACS		*Abbreviation: ACS
	*Refers to a spectrum of conditions compatible with acute myocardial ischemia and/or infarction that are usually due to an abrupt reduction in coronary blood flow.		*Refers to a spectrum of conditions compatible with acute myocardial ischemia and/or infarction that are usually due to an abrupt reduction in coronary blood flow.

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2021-03-11T16:01:56Z

Clinical Categories

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	*Refers to a spectrum of conditions compatible with acute myocardial ischemia and/or infarction that are usually due to an abrupt reduction in coronary blood flow.		*Refers to a spectrum of conditions compatible with acute myocardial ischemia and/or infarction that are usually due to an abrupt reduction in coronary blood flow.

	~~===~~Clinical Categories~~===~~		{{Clinical ACS Categories}}
	~~#[[ST-Elevation Myocardial Infarction (STEMI)]] (30%)~~
	~~#[[Non ST-Elevation Myocardial Infarction (NSTEMI)]] (25%)~~
	~~#[[Unstable Angina]] (38%)~~
	#*The new title, “Non-ST-Elevation Acute Coronary Syndromes,” emphasizes the continuum between UA and NSTEMI<ref>AHA ACA - NSTEMI ACS Guidelines 2014 [http://circ.ahajournals.org/content/130/25/e344 View Online]</ref>
	~~#*NSTEMI myocardium is damaged enough to increase biomarkers, UA is not.~~

	{{MI Types by Causation}}		{{MI Types by Causation}}

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	{{MI Types by Causation}}		{{MI Types by Causation}}

	~~===Prognosis===~~
	*[[ACS - Stress Testing]]

	==Clinical Features==		==Clinical Features==
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	*For low risk (HEART) pts, may be better off discharge home with follow up<ref> Weinstock MB, Weingart S, Orth F, VanFossen D, Kaide C, Anderson J, Newman DH. Risk for Clinically Relevant Adverse Cardiac Events in Patients With Chest Pain at Hospital Admission. JAMA Intern Med. 2015 Jul;175(7):1207-12. </ref>		*For low risk (HEART) pts, may be better off discharge home with follow up<ref> Weinstock MB, Weingart S, Orth F, VanFossen D, Kaide C, Anderson J, Newman DH. Risk for Clinically Relevant Adverse Cardiac Events in Patients With Chest Pain at Hospital Admission. JAMA Intern Med. 2015 Jul;175(7):1207-12. </ref>
	**Risk of MACE after neg ED work up 1/2422 vs Risk of preventable adverse event in hospital is 1/164		**Risk of MACE after neg ED work up 1/2422 vs Risk of preventable adverse event in hospital is 1/164

			===Prognosis===
			*[[ACS - Stress Testing]]

	==External Links==		==External Links==

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	#*NSTEMI myocardium is damaged enough to increase biomarkers, UA is not.		#*NSTEMI myocardium is damaged enough to increase biomarkers, UA is not.

	~~===~~MI Types by Causation~~<ref>Third Universal Definition of Myocardial Infarction http://circ.ahajournals.org/content/126/16/2020.full.pdf</ref>===~~		{{MI Types by Causation}}
	*Type 1 - Spontaneous Myocardial Infarction
	**Atherosclerotic plaque rupture or intraluminal thrombus in one or more of the coronary arteries
	*Type 2 - Myocardial Infarction Secondary to an Ischaemic Imbalance
	**Condition other than CAD contributes to an imbalance between myocardial oxygen supply and/or demand
	*Type 3 - Cardiac Death Due to Myocardial Infarction
	**Suffer cardiac death with symptoms suggestive of myocardial ischaemia without elevated biomarkers
	*Type 4 - Myocardial Infarction Associated With Revascularization Procedure
	**4a: Related to PCI
	**4b: Related to Stent Thrombosis
	*Type 5 - Myocardial Infarction Related to CABG Procedure

	===Prognosis===		===Prognosis===

2021-02-20T19:29:01Z

2020-04-05T21:06:31Z

Differential Diagnosis

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	*[[ACS - Anatomical Correlation]]		*[[ACS - Anatomical Correlation]]
	*[[ACS - Stress Testing]]		*[[ACS - Stress Testing]]
	*[[ST-segment elevation myocardial infarction ~~(STEMI)~~]]		*[[ST-segment elevation myocardial infarction]]
	*[[Non ST-~~Elevation Myocardial Infarction (NSTEMI)~~]]		*[[Non-ST-elevation myocardial infarction]]
	*[[Unstable angina]]		*[[Unstable angina]]
	*[[STEMI equivalents]]		*[[STEMI equivalents]]
	*[[Myocardial infarction complications]]		*[[Myocardial infarction complications]]
	*[[In-Training Exam Review]]

	==References==		==References==

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	*[[STEMI equivalents]]		*[[STEMI equivalents]]
	*[[Myocardial infarction complications]]		*[[Myocardial infarction complications]]
			*[[In-Training Exam Review]]

	==References==		==References==