Cardiovascular Essentials for Advanced Practice Providers Revamp-Acute Coronary Syndromes Video

Video Transcription

Video Summary

The module reviews acute coronary syndrome, including unstable angina, NSTEMI, and STEMI. It stresses early recognition in adults with chest discomfort or dyspnea, especially with pressure-like pain, radiation, diaphoresis, nausea, or risk factors. Initial evaluation includes focused history, exam, ECG within 10 minutes, troponin, and monitoring. Unstable angina has normal troponin; NSTEMI has elevated troponin; STEMI shows ST elevation and needs urgent reperfusion. Treatment includes aspirin, nitroglycerin, beta-blocker, anticoagulation, and often dual antiplatelet therapy. STEMI requires PCI or fibrinolysis if cath lab access is delayed. Long-term care includes statins, beta-blockers, ACE inhibitors/ARBs, and lifestyle changes.

Keywords

acute coronary syndrome

unstable angina

NSTEMI

STEMI

myocardial infarction