2013
DOI: 10.1136/heartjnl-2013-304649
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Almanac 2013: acute coronary syndromes

Abstract: Unstable coronary artery plaque is the most common underlying cause of acute coronary syndromes (ACS) and can manifest as unstable angina, non-ST segment elevation infarction (NSTE-ACS), and ST elevation myocardial infarction (STEMI), but can also manifest as sudden cardiac arrest due to ischaemia induced tachyarrhythmias. ACS mortality has decreased significantly over the last few years, especially from the more extreme manifestations of ACS, STEMI, and cardiac arrest. This trend is likely to continue based o… Show more

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Cited by 9 publications
(6 citation statements)
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“…ACS includes myocardial infarction with stent thrombosis (ST)-segment elevation, myocardial infarction without ST-segment elevation, and unstable angina (1). Unstable coronary artery plaque is the most common cause of ACSs and it can appear as the myocardial infarction with ST-segment elevation, myocardial infarction without ST-segment elevation, and unstable angina; it can also appear as sudden heart attack due to ischemia caused by tachyarrhythmias (2).…”
Section: Introductionmentioning
confidence: 99%
“…ACS includes myocardial infarction with stent thrombosis (ST)-segment elevation, myocardial infarction without ST-segment elevation, and unstable angina (1). Unstable coronary artery plaque is the most common cause of ACSs and it can appear as the myocardial infarction with ST-segment elevation, myocardial infarction without ST-segment elevation, and unstable angina; it can also appear as sudden heart attack due to ischemia caused by tachyarrhythmias (2).…”
Section: Introductionmentioning
confidence: 99%
“…NSTEMI is the most common form of acute coronary syndromes, and also associated with high mortality rates. Early treatment is crucial for the favorable prognosis of the disease 11 …”
Section: Discussionmentioning
confidence: 99%
“…The tissue levels of the five oxidative stress markers: SOD, CAT, GSH, GPX and LPO in the four groups of study rats are listed in Table 2. ISPH-treated group-II rats had significant decrease in SOD [F (3,20)…”
Section: Quantification Of Oxidative Stress Markersmentioning
confidence: 99%
“…It is caused by the metabolic imbalance involving elevated energy requirements and deficient oxygen supply to the cardiac myocytes, ultimately leading to myocardial necrosis [2]. MI is closely associated with several changes in metabolic and signaling pathways that involve increased oxidative stress, elevated lipid peroxidation, excessive cytoplasmic/mitochondrial calcification, disturbed antioxidant homeostasis, dynamic cellular metabolism, irreversible DNA damage and other pathophysiological alterations [3]. The mechanism of pharmacological action exhibited by modern western medicines revolves around the lock-and-key model that entails the action of a single therapeutic agent against a single target to regulate a particular metabolic/signaling pathway, thereby failing to treat diseases governed by multiple molecular mechanisms [4].…”
Section: Introductionmentioning
confidence: 99%