[Coronary arteriography for diagnosis of acute coronary syndrome].
The acute coronary syndrome (ACS) is an acute ischemic attack resulted from disruption of coronary atheroma followed by thrombus formation. Because current guidelines recommend an early invasive strategy for patients who have ACS with and without ST-segment elevation and with an elevated cardiac troponin T level, early coronary angiography is indicated in almost all patients with ACS. Coronary angiography of ischemia related artery reveals total occlusion or severe stenosis associated with thrombus. In a patient with multivessel disease, a careful interpretation of coronary angiography is needed to identify the ischemia related artery.
Goto
Tsuyoshi
T
Heart Disease Center of Kurashiki Central Hospital.
D000789:Angina, Unstable / Q000000981:diagnostic imaging* / Q000209:etiology; D003097:Collateral Circulation; D017023:Coronary Angiography; D003324:Coronary Artery Disease / Q000150:complications / Q000000981:diagnostic imaging; D003328:Coronary Thrombosis / Q000150:complications / Q000000981:diagnostic imaging; D006801:Humans; D009203:Myocardial Infarction / Q000000981:diagnostic imaging* / Q000209:etiology; D013577:Syndrome