Type A personality

oral contraceptive pills

sleep disorders

Stable

Unstable

Increased systolic blood pressure and pulse pressure

Aortic aneurysm, arterial dissection

Chronic coronary syndrome (CCS)

acute coronary syndrome (ACS)

Myocardial cells absorb blood oxygen content of 65% to 75%, and can only rely on increasing coronary blood flow to supply oxygen.

Factors that determine myocardial oxygen consumption

1~5 thoracic sympathetic ganglia and corresponding spinal cord segments

Coronary artery stenosis 70%

Left main coronary artery stenosis

No coronary artery stenosis

symptom

physical signs

laboratory tests

Electrocardiogram

CT Angiography (CTA)

echocardiogram

radionuclide inspection

Coronary magnetic resonance imaging (CMRA)

Invasive examination

CCS classification

Differential diagnosis

left main coronary artery

in principle

Treatment during an attack

remission treatment

Coronary atherosclerotic lesions cause long-term myocardial ischemia and hypoxia, leading to myocardial cell reduction, necrosis, myocardial fibrosis, and myocardial scarring.

congestive ischemic cardiomyopathy

restrictive ischemic cardiomyopathy

There is clear evidence of myocardial necrosis or myocardial ischemia

Significantly enlarged heart

Clinical manifestations or laboratory evidence of cardiac insufficiency

No angina, objective evidence of myocardial ischemia

No angina, history of myocardial infarction, objective evidence

Sometimes there is angina and sometimes there is not, there is objective evidence

On the basis of coronary atherosclerosis, the lumen of one or more blood vessels is occluded

coronary artery disease

cardiomyopathy

omen

symptom

physical signs

electrocardiogram

echocardiogram

CMR (Cardiovascular Magnetic Resonance Imaging)

radionuclide inspection

laboratory tests

Angina pectoris

aortic dissection

acute pulmonary embolism

acute abdomen

acute pericarditis/myocarditis

Pheochromocytoma

Papillary muscle dysfunction or rupture

ruptured heart

embolism

ventricular aneurysm

post-myocardial infarction syndrome

in principle

Monitoring and general treatment

relieve pain

antiplatelet therapy

anticoagulant therapy

reperfusion myocardial therapy

ACEI, ARNI

Lipid-lowering treatment

Antiarrhythmic and conduction disorders

Anti-shock

Anti-heart failure

right ventricular myocardial infarction

other