Syndrome coronarien aigu

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

Thomas Pilgrim, Stephan Windecker

Universitätsklinik für Kardiologie, Universitätsspital Bern, Schweiz

Introduction





    















      























SCA sans surélévation du segment ST











     

   

  





Antiagrégants

    









    





   









   











   





  























ARTICLE DE REVUE 











   

     

















 





   

    



     





  







     

 





    

  

     







    









    



     





  



Figure 1: 

Artère coronaire

Ischémie myocardique

ECG

Diagnostic

Gestion

ICP

STEMI SCA non ST+

transmurale

OcclusionSténose

sous-endocardique

Surélévation du segment STNégativation de l’onde T

Dépression du segment ST

Antiagrégants; anticoagulants; analgésiques,

surveillance monitorée

d’urgence <24 heures<72 heuresélective/test d’ischémie

Stratication du risque



ARTICLE DE REVUE 



   













    





   









   

  

    

   

  

       





  



    













  







Anticoagulants

   



  

     

  

    



  





 



 





  



    

   

    



  

  





 

    





Stratication du risque



    













  

 

   



   





Tableau 1: 

Critères primaires









Critères secondaires



























ARTICLE DE REVUE 

   



    

  



  









   



Stratégie de revascularisation

    







 





      





   

     



    



 







   

   

   





Infarctus myocardique avec surélévation

du segment ST

  





  























    



     

(rst me

dical contact to balloon)



(doorin to doorout

time)



   

   





 

   



     





    

     



    



Antiagrégants plaquettaires







  

















   



   



   



   













   





ARTICLE DE REVUE 



 

  





 



 







     



   

    

  



Anticoagulants



   





   



   







Intervention coronarienne percutanée primaire













   

  



 

 







  

  



  











drugeluting

stents

      



baremetal stents







     



    







   





















  



   









Financement/ Conits d’intérêt





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

Références

 







 







 





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

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

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