Importante valorar el riesgo hemorrágico e isquémico del paciente.
https://www.nps.org.au/australian-prescriber/articles/diagnosis-and-management-of-acute-coronary-syndromes
Types of acute myocardial infarction
Type 1 = plaque rupture
Spontaneous myocardial infarction secondary to atherosclerotic plaque rupture
Type 2 = ischaemic imbalance
Tachyarrhythmia, anaemia, respiratory failure, hypotension/shock, severe hypertension, coronary vasospasm, acute myocarditis
Type 3 = biomarker values unavailable
Cardiac death with symptoms suggestive of myocardial ischaemia and presumed new ischaemic ECG changes/left bundle branch block, however death occurred before initial or serial blood samples could be obtained
Type 4 = percutaneous coronary intervention-related
4a – secondary to procedure e.g. coronary dissection, no re-flow, distal embolisation
4b – associated with stent or scaffold thrombosis
4c – in-stent restenosis following balloon angioplasty in infarct territory when no other culprit lesion can be identified
Type 5 = coronary artery bypass grafting-related
Direct traumatic injury to myocardium
No hay comentarios:
Publicar un comentario