Skip to main content

Posts

Showing posts from August, 2014

Acute coronary syndrome ACS

Introduction Acute coronary syndrome (ACS) includes acute  myocardial infarction (MI) and unstable angina. Following an ACS, the chances of recurrent coronary events are higher than that of a stable coronary disease.1 The burden of  ACS in India is one of the highest in the world. A study  called CREATE, involving 20,937 patients, suggested that  Indian patients with ACS have a higher rate of STEMI than  patients in the developed countries.2 The efficacy of statin  therapy in prevention of CVS mortality and morbidity has  already been established. In fact, the ACC/AHA Joint Task  Force recommends the statins to be prescribed to patients before hospital discharge following an episode of ACS.3 Case presentation In emergency department  A 70-year-old woman (5’3’’ tall, weighing 60 kg) was  brought to the emergency department by her family, when  she woke up at around 3.30 am with her heart pounding,  severe chest tightness, and inability to breath. The family  reported that she wa