Cardiovascular Essentials for Advanced Practice Providers-Acute Coronary Syndrome Video

Video Transcription

Video Summary

This module reviewed acute coronary syndrome, including unstable angina, NSTEMI, and STEMI. Key symptoms include chest pressure with radiation, dyspnea, nausea, diaphoresis, and symptoms lasting over 20 minutes, especially with risk factors like prior ACS, hypertension, diabetes, hyperlipidemia, smoking, or cocaine use. Diagnosis starts with an ECG within 10 minutes and serial troponins. Unstable angina has no troponin rise; NSTEMI has elevated troponin; STEMI shows ST elevation from complete occlusion. Management includes aspirin, nitroglycerin, beta blockers, anticoagulation, and risk-based invasive strategy. STEMI requires urgent PCI or fibrinolysis if PCI is delayed. Long-term care includes dual antiplatelets, statins, beta blockers, ACE inhibitors, and lifestyle changes.

Keywords

acute coronary syndrome

unstable angina

NSTEMI

STEMI

myocardial infarction

troponin