Saturday, April 16, 2011
Unstable Angina Pectoris
3:23 PM | 
Posted by
Arif Siregar
Inserted in unstable angina are: 1) patients with angina that is new in 2 months, where the frequency of angina is quite heavy and quite often, more than 3 times per day. 2) patients with increasingly severe angina, prior unstable angina, and angina attacks occur more frequently. 3) patients with angina attack at rest.
According to the guidelines of the American College of Cardiology (ACC) and American Heart Association (AHA) differences in unstable angina and infarction without segment elevation (NSTEMI = non ST elevation myocardial infarction) that arises is whether ischemia severe enough to cause damage to the myocardium, so that the marker of myocardial damage can be checked. The diagnosis of unstable angina when patients have a complaint ischemia but no increase in troponin or CK-MB, with or without ECG changes for ischemia, such as ST segment depression or elevation of a minute or a negative T wave. Because the increase in enzyme usually within 12 hours, then in the early stages of attack, unstable angina often indistinguishable from NSTEMI.
According to the guidelines of the American College of Cardiology (ACC) and American Heart Association (AHA) differences in unstable angina and infarction without segment elevation (NSTEMI = non ST elevation myocardial infarction) that arises is whether ischemia severe enough to cause damage to the myocardium, so that the marker of myocardial damage can be checked. The diagnosis of unstable angina when patients have a complaint ischemia but no increase in troponin or CK-MB, with or without ECG changes for ischemia, such as ST segment depression or elevation of a minute or a negative T wave. Because the increase in enzyme usually within 12 hours, then in the early stages of attack, unstable angina often indistinguishable from NSTEMI.
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