ACS Risk Stratification Orientation课件.ppt

Risk Stratification of Acute Coronary Syndrome;Or . . .;Table of Content;Media/ Lay Press;Epidemiology;Epidemiology: $;Epidemiology: non-CP;Decreased O2 Supply Plaque rupture/clot Flow- limiting stenosis Anemia Increased O2 Demand;Why Risk Stratification?;Risk Stratification Goals;Time dependent therapies;High risk/Urgent;Monitor in lower acuity settings;Delayed work-up/follow up;Risk Stratification – Hx/PE;Risk Stratification;Risk Stratification;Risk Stratification;Risk Stratification;Risk Stratification – Hx/PE;Risk Stratification – Hx/PE;Risk Stratification - ECG;Risk Stratification - ECG;Risk Stratification – ECG ;Risk Stratification - ECG;Risk Stratification - ECG;Risk Stratification - ECG;Risk Stratification – ECG;Cardiac Biomarkers ;Cardiac Enzymes: CK/CK-MB;Myoglobin;Cardiac Troponin;Cardiac Markers;Troponins: One set r/o?;Troponins: One set r/o?;Risk Stratification – One Set CM’sBalk EM. Ann of Emerg Med. 2001;37:478.;Risk Stratification – Serial CM’sBalk EM. Ann of Emerg Med. 2001;37:478.;Troponin: “False” +;Risk Stratification – Cardiac Markers;Risk Stratification – Goldman Computer Protocol;Risk Stratification – ACI-TIPI;Risk Stratification – ACI-TIPI;Risk Stratification – TIMI Risk Scores ;Risk Stratification -- Conclusion;Chest Pain;Risk Stratification -- Dilemma;Risk Stratification -- Conclusion;Summary;Statements to avoid;The Future;The Future – PRIME ECG;;Paradigm shift in Markers?;New Biochemical Markers;Other markers;The Future: CTCA;CTCA: Normal Coronaries;The Next Generation: 64 slice;Ischemic Memory;What is BMIPP?;