Silent myocardial ischemia (occult coronary heart disease)

Angina pectoris

myocardial infarction

ischemic cardiomyopathy

sudden death

Chronic myocardial ischemia syndrome CIS (chronic coronary artery disease CAD)

acute coronary syndrome ACS

Typical angina

atypical angina

Increased heart rate, transient increase in blood pressure, anxious or fearful expression, sweating, S4 or S3 gallop, S2 split and alternating pulses can be heard in the apex area

acute coronary syndrome

cardiac neurosis

intercostal neuralgia

atypical neuralgia

Bile and upper gastrointestinal tract lesions

Angina pectoris caused by other diseases

Level I - no restrictions on physical activity

Level II - Mild limitation, limited walking on level ground for more than 200m or climbing stairs for more than one floor

Level III - Obvious limitation, angina pectoris occurs when walking 200m on level ground or climbing one floor of stairs

Class IV - Angina pectoris caused by slight activity or rest

Treatment during an attack

Treatment during remission

Interventional PCI

Grade I - Severe initial or worsening angina without rest pain

Grade II - subacute resting angina (occurred within 1 month, but no attack within 48 hours)

Grade III-acute resting angina (onset within 48 hours)

Immediately relieve ischemia and prevent serious adverse consequences

pain

Arrhythmia

hypotension and shock

Heart failure - left heart failure, right heart failure

Gastrointestinal symptoms - nausea, vomiting, epigastric bloating, flatulence

Wide and deep Q wave (pathological Q wave) - reflects myocardial necrosis

ST segment elevation is arched upward, reflecting myocardial damage

T wave inversion - reflects myocardial ischemia

The opposite changes appear on the leads dorsal to the myocardial infarction area, that is, the R wave is increased, the ST segment is depressed, and the T wave is upright and increased.

Angina pectoris

Non-ST segment elevation acute coronary syndrome

aortic dissection

acute pulmonary embolism

acute abdomen

acute pericarditis

Class I - no obvious heart failure yet

Grade II - Left heart failure, pulmonary rales <50%

Grade III - Acute pulmonary edema, dry rales and large and small crackles throughout the lungs

Class IV-cardiogenic shock

Monitoring and general treatment

relieve pain

reperfusion myocardium

Correct arrhythmia

correct shock

correct heart failure

Treatment of right ventricular myocardial infarction