ESCGuidelinesforthemanagementofACS幻灯片.pptVIP

ESC Guidelines for the management of ACS in patients presenting without persistent ST-segment elevation ------diagnosis 06级实习生：沈春红 NSTE-ACS的临床表现 Prolonged (大于20 min) anginal pain at rest; New onset (de novo) angina (Class II or III of the Classification of the CCS); Recent destabilization of previously stable angina with at CCS Class III angina characteristics(crescendo angina); Post-MI angina. 1：80%；2+3：剩下的20% NSTE-ACS的临床表现 Typical：胸骨后压榨感、沉重感，放射至左颈、臂及下颌，可间歇可持续 伴随症状：大汗、恶心呕吐、腹痛、呼吸困难及晕厥 Atypical：并不罕见。上腹部疼痛、消化不良、针刺样胸痛、肋膜炎样胸痛、进行性呼吸困难； 常见人群：75岁，妇女，糖尿病、慢性肾衰、痴呆 诊断困难 NSTE-ACS的临床表现 某些临床特点可帮助诊断冠脉疾