Acute Coronary Syndromes

Matthew Katz, Umesh K. Gidwani

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review


Acute coronary syndromes (ACS) are potentially life-threatening conditions that require emergent medical attention to reduce the risk of morbidity and mortality. Medical therapy with anticoagulation and dual antiplatelet agents is proven to be effective in the treatment of ACS. This chapter provides a detailed discussion on the prevention, diagnosis, treatment, and prognosis of ACS. ACS can be viewed as three different clinical syndromes: ST elevation myocardial infarction, non-ST elevation myocardial infarction, and unstable angina. The pathogenesis of ACS is as simple as a mismatch between myocardial demand and its blood supply causing ischemia and, when severe enough, infarction. It is important to consider a broad differential diagnosis when approaching a patient with chest pain. Committing oneself to the diagnosis of ACS without considering other potentially life-threatening causes of chest pain could result in poor outcomes.

Original languageEnglish
Title of host publicationMount Sinai Expert Guides
Subtitle of host publicationCritical Care
Number of pages16
ISBN (Electronic)9781119293255
ISBN (Print)9781119293262
StatePublished - 1 Jan 2020


  • Cardiac arrhythmias
  • Cardioversion clinical history
  • Diagnostic tests
  • ECG


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