Spectrum of Acute Coronary Syndromes: Laboratory Findings in Q-Wave AMI Creatine kinase evidence of necrosis NonePositive ECG early ST-segment depression.

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Presentation transcript:

Spectrum of Acute Coronary Syndromes: Laboratory Findings in Q-Wave AMI Creatine kinase evidence of necrosis NonePositive ECG early ST-segment depression and/or T-wave inversion ST-segment elevation ECG late No Q Q develops Stable angina UnstableanginaNon–Q-waveAMIQ-waveAMI Antman EM. In: Braunwald E, ed. Heart Disease: A Textbook in Cardiovascular Medicine, 5th ed. Philadelphia, Pa: WB Saunders; ST-segment depression and/or T-wave inversion

Time Course of Enzyme Markers Relative Marker Increase Hours After Chest Pain Onset Upper Reference Interval Antman EM. In: Braunwald E, ed. Heart Disease: A Textbook in Cardiovascular Medicine, 5th ed. Philadelphia, Pa: WB Saunders; 1997.

Diagnostic Markers in Acute Coronary Syndromes Stable angina Unstable angina Non–Q-wave AMI Q-waveAMIQ-waveAMI ST-segment elevation AMI CK-MB Troponin T or I C-Reactive Protein Non–ST-segment elevation ACS Antman EM. In: Braunwald E, ed. Heart Disease: A Textbook in Cardiovascular Medicine, 5th ed. Philadelphia, Pa: WB Saunders; 1997.