Acute coronary syndrome with high mortality factors and the Nursing.docVIP

 PAGE \* MERGEFORMAT 3 Acute coronary syndrome with high mortality factors and the Nursing [Keywords:] acute coronary syndrome Acute coronary syndrome (acute coronary syndrome, ACS) refers to a coronary atherosclerotic plaque rupture, platelet adhesion and aggregation, coagulation factor activation and thrombosis, causing coronary artery obstruction due to incomplete. Clinically manifested as unstable angina (unstable angina, UA), non-ST-segment elevation myocardial infarction (not ST segment elevation myocardial infarction, NSTEMI) and ST-segment elevation myocardial infarction (ST segment elevation myocardial infarction, STEMI ), and sudden cardiac death (SCD). Because of its high fatality rate and is recognized at home and abroad with acute cardiovascular disease [1]. A high mortality factor 1.1 painless ACS lethal high The vast majority of ACS patients, such as myocardial infarction and unstable angina patients often have chest pain symptoms, but there are also some patients with onset of symptoms are not typical, such as syncope, shortness of breath, excessive sweating, or nausea and vomiting. Brieger [2] The study shows that a total of 20,881 cases of ACS patients, 1763 cases (8.4) without chest pain symptoms, of which 23.8% in the early stages, be mistaken for other diseases, while the typical rate of misdiagnosis in patients with ACS is only 2.4%. ACS compared with patients with typical, atypical ACS patients receive less timely and effective treatment of heart disease drugs and surgical intervention, their hospital mortality was significantly higher (13% vs 4.3%). The pairs of variables after correction for potential confounders, in addition to excessive sweating away, there are faint precursor / fainting, nausea, vomiting and breathing difficulties are not typical symptoms of ACS in patients with hospital mortality rate increased 100% respectively, 60% and 40%, non - chest pain and unstable angina and ST-segment elevation myocardial infarction in