Chronic ischemic heart disease acute coronary syndromes

This chapter will not cover the acute coronary syndromes as readers are referred to the accompanying chapter in this text. However, it should be evident that the occurrence of acute plaque rupture and thrombosis has a significant impact on the prognosis of a patient with chronic ischemic heart disease. Cardiogenic shock... 

O Ischemic heart disease results from an imbalance between myocardial oxygen demand and oxygen supply that is most often due to coronary atherosclerosis. Common clinical manifestations of ischemic heart disease include chronic stable angina and the acute coronary syndromes of unstable angina, non-ST-segment elevation myocardial infarction, and ST-segment elevation myocardial infarction. 

In the United States, approximately 700,000 patients suffer from an initial AMI annually and another 500,000 from a recurrent AMI. Coronary heart disease causes 20% of all deaths in the United States and cardiovascular diseases up to 38.5%. About 1.7 million patients are hospitalized each year in the United States with an acute coronary syndrome (ACS). Historically, most deaths caused by ischemic heart disease were acute, but as our therapeutic abfiities have increased, the disease is slowly becoming a more chronic one. When deaths occur acutely, they are caused by either... 

---