What are the 5 types of NSTEMI?
MI Types by Causation
- Type 1: Spontaneous Myocardial Infarction.
- Type 2: Myocardial Infarction Secondary to an Ischemic Imbalance.
- Type 3: Cardiac Death Due to Myocardial Infarction.
- Type 4: Myocardial Infarction Associated With Revascularization Procedure.
- Type 5: Myocardial Infarction Related to CABG Procedure.
How many types of NSTEMI are there?
Types 1 and 2 MI are spontaneous events, while type 4 and type 5 are procedure-related; type 3 MI is identified only after death. Most type 1 and type 2 MI present as non-ST-elevation MI (NSTEMI), although both types can also present as ST-elevation MI.
What is the management for a NSTEMI?
The diagnosis and management of NSTEMI are best managed with an interprofessional team that consists of a cardiologist, internist, nurse practitioner, and a pharmacist. In patients where NSTEMI has been definitively diagnosed or is highly likely, anticoagulation should be initiated.
What is the difference between Type 1 and Type 2 NSTEMI?
Type I NSTEMI employs anti-platelet and antithrombotic therapies i.e percutaneous coronary intervention. Treatment of Type II NSTEMI is directed at managing the underlying condition. urgent dialysis for decompensated heart failure.
Why are STEMI and NSTEMI treated differently?
Equally important, NSTEMI heart attacks are caused by different types of blood clots than STEMI heart attacks, with differing amounts of clotting proteins and platelet blood cells. Therefore, the treatment of NSTEMI heart attacks differs from the treatment of STEMI heart attacks.
Does NSTEMI go to cath lab?
In ST-elevation myocardial infarction (STEMI), there is complete occlusion of the coronary artery resulting in a need for immediate transfer to the cardiac catheter lab for primary percutaneous coronary intervention (PCI) to achieve reperfusion of the myocardium and improve clinical outcomes.
What are the 4 types of myocardial infarction?
ST segment elevation myocardial infarction (STEMI) non-ST segment elevation myocardial infarction (NSTEMI) coronary spasm, or unstable angina.
What are the 3 types of coronary lesions?
ACC/AHA Lesion-Specific Classification of the Primary Target Stenosis
- Type A Lesions (High Success, >85%; Low Risk)
- Type B Lesions (Moderate Success, 60 to 85%; Moderate Risk*)
- Type C Lesions (Low Success, <60%; High Risk)
What is the first line treatment for NSTEMI?
The authors recommend that aspirin still be regarded as the first line of therapy for patients with unstable angina/NSTEMI and should be administered as soon as possible after hospital presentation and maintained indefinitely as long as tolerated.
When should I use PCI in NSTEMI?
In people with NSTEMI or unstable angina who are clinically unstable, coronary angiography (with follow-on PCI if indicated) should be done as soon as possible so that appropriate treatment can be given. It may reduce lengthy hospital stays and prevent further cardiovascular events in both the short and long term.
What are the 3 types of acute coronary syndrome?
The term acute coronary syndrome (ACS) is applied to patients in whom there is a suspicion or confirmation of acute myocardial ischemia or infarction. Non-ST-elevation myocardial infarction (NSTEMI), ST-elevation MI (STEMI), and unstable angina are the three traditional types of ACS.
What is the difference between a NSTEMI non ST elevated myocardial infarction and a STEMI ST elevated myocardial infarction?
In medical terminology, a heart attack is a myocardial infarction. An NSTEMI is a less severe form of heart attack than the STEMI because it inflicts less damage to the heart. However, both are heart attacks and require immediate medical care.
Do you treat NSTEMI with PCI?
How do you handle a patient with myocardial infarction?
Analgesia and anti-emetics. The pain of myocardial infarction is usually severe and requires potent opiate analgesia. Intravenous diamorphine 2.5–5 mg (repeated as necessary) is the drug of choice and is not only a powerful analgesic but also has a useful anxiolytic effect.
What are the different types of angina pectoris?
Types
- Stable angina. Stable angina is the most common form of angina.
- Unstable angina (a medical emergency). Unstable angina is unpredictable and occurs at rest.
- Variant angina (Prinzmetal angina). Variant angina, also called Prinzmetal angina, isn’t due to coronary artery disease.
- Refractory angina.
How many types of lesions are in ACC AHA classification?
Results: A total of 447 lesions were analyzed. The number of type A, type B1, type B2, and type C lesion were 75 (16.8%), 98 (21.9%), 145 (32.4%), and 129 (28.9%), respectively.
How long can you live after a NSTEMI?
Conclusion: In this real-life cohort of NSTEMI patients ≥75 years, 30-day survival was 95%, and 7-year survival was 47% with an invasive strategy. Revascularized patients had a superior long-term prognosis.
What are the three types of percutaneous coronary artery interventions?
What Are the Types of Percutaneous Coronary Intervention?
- Balloon angioplasty. A balloon is inserted and inflated in your artery to press plaque out of the way.
- Laser angioplasty. A laser is inserted on the end of a catheter and vaporizes plaque.
- Rotational atherectomy.
- Angioplasty with a stent.
- Impella-supported PCI.
What are the atypical presentation of ACS?
Chest pain or discomfort is regarded as the hallmark symptom of ACS, and its absence is regarded as “atypical” presentation.
Which patients are likely to have atypical presentation of ACS?
The atypical symptoms tend to occur more commonly among those who are older, female, diabetic (possibly due to autonomic neuropathy), hypertensive, and with prior heart failure. They were reported in 5.7% and 12.3% of patients with unstable angina and NSTEMI, respectively [2].
What are the 4 treatment categories for MI?
Treatment is antiplatelet drugs, anticoagulants, nitrates, beta-blockers, statins, and reperfusion therapy. For ST-segment-elevation myocardial infarction, emergency reperfusion is via fibrinolytic drugs, percutaneous intervention, or, occasionally, coronary artery bypass graft surgery.
What are six common non cardiac causes of chest pain?
What are the most common causes of noncardiac chest pain?
- Gastroesophageal reflux disease (GERD).
- Esophageal muscle spasms.
- Achalasia.
- Esophageal hypersensitivity.
- Inflammation of the esophagus.
- Abnormal esophageal tissue.
What is one goal of therapy for patients with ACS?
The immediate goals of treatment for acute coronary syndrome are: Relieve pain and distress. Improve blood flow. Restore heart function as quickly and as best as possible.
What is a discrete lesion?
Discrete—lesions are distinctly separate from each other with identifiable borders. Grouped—lesions appear in clusters or groups. Intertriginous—appearing within the skin folds. Localized—restricted to one particular body area.