What is new in Acute Coronary Syndrome

What Will You Learn?

• The definition of acute coronary syndrome and its spectrum, from unstable angina to ST-segment elevation myocardial infarction (STEMI).
• The mechanistic basis of ACS, including the role of atherosclerotic plaque rupture and coronary thrombosis.
• The universal definition of myocardial infarction (MI) based on clinical symptoms, ECG findings, and cardiac troponin levels.
• How to classify ACS based on ECG findings: ST-segment elevation (STEMI), non-ST-segment elevation (NSTEMI), and unstable angina.
• The importance of early recognition of both typical and atypical symptoms of ACS, including chest pain equivalents.
• The interpretation of ECG findings in diagnosing ACS, with emphasis on ST-segment elevation, ST-segment depression, and new-onset left bundle branch block (LBBB).
• The significance of "STEMI equivalents" such as LBBB, RBBB, and posterior MI.
• The role of high-sensitivity cardiac troponin assays in diagnosing MI.
• The management of ACS, including antithrombotic therapy, reperfusion strategies, and secondary prevention.
• The role of fibrinolytic in STEMI management, especially when PCI is not immediately available, and the importance of pre-hospital administration.
• The recommendations for timing of angiography and PCI in STEMI and NSTEMI patients.
• The updated guidelines on antithrombotic therapy, particularly the use of dual antiplatelet therapy (DAPT) and its duration, and monotherapy options.
• The importance of LDL management, beta-blocker therapy, and patient involvement in decision-making