Barragán GR

Language: Spanish
References: 6
Page: 21-24
PDF size: 35.69 Kb.

ABSTRACT

The acute coronary syndromes, like unstable angina and acute myocardial infarction without S-T segment elevation, still common manifestation in coronary disease.
The difference between these two entities is the symptoms severity, mainly expressed by Troponins elevation as a biochemical marker of myocardial necrosis.
These acute coronary syndromes required, first of all, an aggressive medical treatment in order to stabilise a control the symptoms.
Coronary artery bypass surgery has, so far, a similar indication based on the obstructive coronary artery lesion; all of them considered of high risk.

REFERENCES

1. BRANUNWALD E, ANTMANN EM, BENSLEY JW, CALIFF RM, CHEINTLI MD, HOCHMAN JS: ACC/AHA Guidelines for the management of patients with unstable angina and non-st segment elevation myocardial infarction: Executive summary and recommendations. Circulation 2000; 102(10): 1193-1209.

2. ANTMAN EM, TANASIJEVIC MJ, THOMPSON B, SHALTMAN M, MCCABE CH, BRAUNWALD E: Cardiac specific troponin in levels to predict the risk of mortality in patients with acute coronary syndromes. N Engl J Med 1996; 335(18): 1342-1399.

3. CONTI CR: Treatment of isquemic heart disease: Role of drugs, surgery and angiplasty in unstable angina patients. Clin Cardiol 1995; 18(1): 4-6.

4. BOERSMA E, AKKERHUIS M, THEROUX P, CALIFF RM, TOPOL E, SIMOONS ML: Platelet glycoprotein IIb/IIIa receptor inhibition in non st-elevation acute coronary syndromes. Circulation 1999; 100: 2045-2048.

5. DELGADO SÁNCHEZ A, CHIQUIURE VALENZUELA E, SANTIAGO BRITO J, GONZÁLEZ PACHECO H, LÓPEZ RODRÍGUEZ C, JUÁREZ HERRERA U, LASSES Y OJEDA L, MARTÍNEZ SÁNCHEZ CR, LUPI HERRERA E: Pronóstico a largo plazo en pacientes con angina inestable e infarto del miocardio no-Q... Arch Inst Cardiol Mex 1999 (supl); 69(5): 9. No. 033

6. CHUQUIURE E, PALMA J, BARRAGÁN GR: Tratamiento quirúrgico de la angina inestable. Experiencia en el Instituto Nacional de Cardiología “Ignacio Chávez” Presentado en el XXI Congreso Nacional de Cardiología. Guadalajara, Jal. oct 16-21, 1999.