Download Free Medical 2020 ESC Guidelines for NSTEMI PowerPoint Presentation

2020 ESC Guidelines for NSTEMI PowerPoint Presentation

DOWNLOAD MEDICAL POWERPOINT PRESENTATION

About This Presentation

Description : Latest guidelines for the management of NSTEMI

Tags : NSTEMI, ACS

Published on : Jan 01, 2021 | Views : 4234 | Downloads : 61

Shareable Url :

Embed Code :

Comment

Transcript

Slide 1-

2020 ESC Guidelines for the management of NSTE-ACS DR DJOUAL DR BENBADA
Slide 2-

4th UDMI= HS-Troponins >99th percentile and : . 2. New ischaemic ECG changes. 3. Development of pathological Q waves on ECG 4. Imaging: loss of viable myocardium or new regional wall motion abnormality 1. Symptoms of myocardial ischaemia 5. Intracoronary thrombus detected on angiography or autopsy Definition
Slide 3-

Different types of MI Type 1 MI Type 2 MI Type 3 MI Type 4 MI Type 5 MI Atherosclerotic plaque rupture, ulceration, fissure, or erosion 1 Imbalance O2 supply / demand: hypotension, hypertension, tachyarrhythmias, bradyarrhythmias, anaemia, hypoxaemia… MI resulting in death when biomarkers are not available MI related to PCI 4 MI related to CABG 5 3 2
Slide 4-

Epidemiology of NSTE-ACS 1995 12.5% 2015 67% 1995 17.2% 2015 6.3% In hospital PCI 6 months mortality Early Angiography <72 h 1995: 9% 2015: 60%
Slide 5-

Clinical Presentation Typical chest discomfort Prolonged at rest De Novo Crescendo Post MI Dyspnoea , Epigastric pain Syncope , Nausea Sweating
Slide 6-

Physical Examination Signs of Aortic Dissection , AS murmur Signs of PE CHF Ischemic MR murmur Hemodynamic stability CHF Other causes of chest pain: PE / AD / Pneumothorax HEART MURMUR MR / AS
Slide 7-

ppt slide no 7 content not found
Slide 8-

Electrocardiogram Normal 30% cases T changes ST depression Transcient STE LBBB Sgarbossa’s criteria RBBB ST depression I VL V5V6 1st 10mn 12 Leads If inconclusive 18 Leads ECG
Slide 9-

Biomarkers: HS cTn
Slide 10-

All these give positive troponins ?!
Slide 11-

Guidelines
Slide 12-

Why 0/1 h Algorithm ?
Slide 13-

Rapid Rule-in/out Algorithm
Slide 14-

ppt slide no 14 content not found
Slide 15-

Confounders of cardiac troponin concentration Age Time from chest pain onset Renal Dysfunction Sex
Slide 16-

Page 16 Guidelines
Slide 17-

ppt slide no 17 content not found
Slide 18-

ppt slide no 18 content not found
Slide 19-

Guidelines
Slide 20-

Guidelines More than 24 hours monitoring if : Haemodynamic instability Major arrhythmia LVEF <40%, Failed reperfusion Additional critical coronary stenoses of major vessels, Complications related to PCI GRACE risk score >140
Slide 21-

Differential diagnosis
Slide 22-

Specific ECG patterns . Additional Biomarkers Clinical scores: Grace Bleeding risk / Ischemic risk
Slide 23-

ppt slide no 23 content not found
Slide 24-

ppt slide no 24 content not found
Slide 25-

Guidelines
Slide 26-

ARC - HBR
Slide 27-

Thank You To be continued…