Coronary Artery Disease
(in a nutshell)
Chronic Stable
Angina
Stable on
medications
Acute Coronary Syndrome
Needs immediate evaluation – ED!
Unstable Angina
Troponins
ECG Changes
Negative
Yes
Necrosis
Thrombus
No
No
Transient, occlusion
incomplete
What does patient
need?
May have cath and
PCI done electively
Manage CP, tweak
meds, may need PCI
Health Promotion
Teaching re: diet,
meds, activity,
lifestyle
modification
npb
NSTEMI
STEMI
Positive
Inverted t, ST
depression
ST elevation
Yes
Transient, occlusion Prolonged, occlusion
incomplete
complete
+/- PCI
Emergent PCI
More extensive
necrosis, worse
outcomes