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Acute coronary syndrome

MedGen UID:
215295
Concept ID:
C0948089
Disease or Syndrome
Synonyms: Acute Coronary Syndrome; Acute Coronary Syndromes; Coronary Syndrome, Acute; Coronary Syndromes, Acute; Syndrome, Acute Coronary; Syndromes, Acute Coronary
SNOMED CT: Acute coronary syndrome (394659003); ACS - Acute coronary syndrome (394659003)
 
HPO: HP:0033678
Monarch Initiative: MONDO:0005542

Definition

The term acute coronary syndrome (ACS) refers to any group of clinical symptoms compatible with acute myocardial ischemia and includes unstable angina (UA), non-ST-segment elevation myocardial infarction (NSTEMI), and ST-segment elevation myocardial infarction (STEMI). [from HPO]

Professional guidelines

PubMed

Gulati M, Levy PD, Mukherjee D, Amsterdam E, Bhatt DL, Birtcher KK, Blankstein R, Boyd J, Bullock-Palmer RP, Conejo T, Diercks DB, Gentile F, Greenwood JP, Hess EP, Hollenberg SM, Jaber WA, Jneid H, Joglar JA, Morrow DA, O'Connor RE, Ross MA, Shaw LJ
Circulation 2021 Nov 30;144(22):e368-e454. Epub 2021 Oct 28 doi: 10.1161/CIR.0000000000001029. PMID: 34709879
Olejniczak M, Schwartz M, Webber E, Shaffer A, Perry TE
J Cardiothorac Vasc Anesth 2020 Jun;34(6):1591-1601. Epub 2020 Jan 7 doi: 10.1053/j.jvca.2019.12.052. PMID: 32127272
January CT, Wann LS, Calkins H, Chen LY, Cigarroa JE, Cleveland JC Jr, Ellinor PT, Ezekowitz MD, Field ME, Furie KL, Heidenreich PA, Murray KT, Shea JB, Tracy CM, Yancy CW
Circulation 2019 Jul 9;140(2):e125-e151. Epub 2019 Jan 28 doi: 10.1161/CIR.0000000000000665. PMID: 30686041

Curated

UK NICE guideline NG185, Acute coronary syndromes, 2020

Recent clinical studies

Etiology

Damluji AA, Forman DE, Wang TY, Chikwe J, Kunadian V, Rich MW, Young BA, Page RL 2nd, DeVon HA, Alexander KP; American Heart Association Cardiovascular Disease in Older Populations Committee of the Council on Clinical Cardiology and Council on Cardiovascular and Stroke Nursing; Council on Cardiovascular Radiology and Intervention; and Council on Lifestyle and Cardiometabolic Health
Circulation 2023 Jan 17;147(3):e32-e62. Epub 2022 Dec 12 doi: 10.1161/CIR.0000000000001112. PMID: 36503287Free PMC Article
Méndez-Eirín E, Suárez-Ouréns Y, Rodríguez-Fernández JÁ
Rev Clin Esp (Barc) 2021 May;221(5):297-305. Epub 2021 Mar 31 doi: 10.1016/j.rceng.2020.11.003. PMID: 33998517
Barstow C
FP Essent 2020 Mar;490:11-19. PMID: 32150364
Hedayati T, Yadav N, Khanagavi J
Cardiol Clin 2018 Feb;36(1):37-52. doi: 10.1016/j.ccl.2017.08.003. PMID: 29173680
Smith JN, Negrelli JM, Manek MB, Hawes EM, Viera AJ
J Am Board Fam Med 2015 Mar-Apr;28(2):283-93. doi: 10.3122/jabfm.2015.02.140189. PMID: 25748771

Diagnosis

Damluji AA, Forman DE, Wang TY, Chikwe J, Kunadian V, Rich MW, Young BA, Page RL 2nd, DeVon HA, Alexander KP; American Heart Association Cardiovascular Disease in Older Populations Committee of the Council on Clinical Cardiology and Council on Cardiovascular and Stroke Nursing; Council on Cardiovascular Radiology and Intervention; and Council on Lifestyle and Cardiometabolic Health
Circulation 2023 Jan 17;147(3):e32-e62. Epub 2022 Dec 12 doi: 10.1161/CIR.0000000000001112. PMID: 36503287Free PMC Article
Atwood J
Emerg Med Clin North Am 2022 Nov;40(4):693-706. doi: 10.1016/j.emc.2022.06.008. PMID: 36396216
Hedayati T, Yadav N, Khanagavi J
Cardiol Clin 2018 Feb;36(1):37-52. doi: 10.1016/j.ccl.2017.08.003. PMID: 29173680
Smith JN, Negrelli JM, Manek MB, Hawes EM, Viera AJ
J Am Board Fam Med 2015 Mar-Apr;28(2):283-93. doi: 10.3122/jabfm.2015.02.140189. PMID: 25748771
Makki N, Brennan TM, Girotra S
J Intensive Care Med 2015 May;30(4):186-200. Epub 2013 Sep 18 doi: 10.1177/0885066613503294. PMID: 24047692

Therapy

Savage P, Cox B, Linden K, Coburn J, Shahmohammadi M, Menown I
Adv Ther 2022 Jun;39(6):2398-2437. Epub 2022 Apr 28 doi: 10.1007/s12325-022-02136-y. PMID: 35482250Free PMC Article
Carson JL, Stanworth SJ, Dennis JA, Trivella M, Roubinian N, Fergusson DA, Triulzi D, Dorée C, Hébert PC
Cochrane Database Syst Rev 2021 Dec 21;12(12):CD002042. doi: 10.1002/14651858.CD002042.pub5. PMID: 34932836Free PMC Article
Gulati M, Levy PD, Mukherjee D, Amsterdam E, Bhatt DL, Birtcher KK, Blankstein R, Boyd J, Bullock-Palmer RP, Conejo T, Diercks DB, Gentile F, Greenwood JP, Hess EP, Hollenberg SM, Jaber WA, Jneid H, Joglar JA, Morrow DA, O'Connor RE, Ross MA, Shaw LJ
Circulation 2021 Nov 30;144(22):e368-e454. Epub 2021 Oct 28 doi: 10.1161/CIR.0000000000001029. PMID: 34709879
Steffens D, Bramlage P, Scheeff C, Kasner M, Hassanein A, Friebel J, Rauch-Kröhnert U
Expert Opin Biol Ther 2020 Jan;20(1):35-47. Epub 2019 Oct 18 doi: 10.1080/14712598.2020.1677604. PMID: 31593483
Rosenson RS, Hegele RA, Fazio S, Cannon CP
J Am Coll Cardiol 2018 Jul 17;72(3):314-329. Epub 2018 Jul 9 doi: 10.1016/j.jacc.2018.04.054. PMID: 30012326

Prognosis

Kaura A, Hartley A, Panoulas V, Glampson B, Shah ASV, Davies J, Mulla A, Woods K, Omigie J, Shah AD, Thursz MR, Elliott P, Hemmingway H, Williams B, Asselbergs FW, O'Sullivan M, Lord GM, Trickey A, Sterne JA, Haskard DO, Melikian N, Francis DP, Koenig W, Shah AM, Kharbanda R, Perera D, Patel RS, Channon KM, Mayet J, Khamis R
PLoS Med 2022 Feb;19(2):e1003911. Epub 2022 Feb 22 doi: 10.1371/journal.pmed.1003911. PMID: 35192610Free PMC Article
Caidahl K, Hartford M, Ravn-Fischer A, Lorentzen E, Yndestad A, Karlsson T, Aukrust P, Ueland T
J Am Coll Cardiol 2019 Aug 13;74(6):774-782. doi: 10.1016/j.jacc.2019.06.030. PMID: 31395128
Kim JM, Stewart R, Lee YS, Lee HJ, Kim MC, Kim JW, Kang HJ, Bae KY, Kim SW, Shin IS, Hong YJ, Kim JH, Ahn Y, Jeong MH, Yoon JS
JAMA 2018 Jul 24;320(4):350-358. doi: 10.1001/jama.2018.9422. PMID: 30043065Free PMC Article
Amarenco P, Lavallée PC, Monteiro Tavares L, Labreuche J, Albers GW, Abboud H, Anticoli S, Audebert H, Bornstein NM, Caplan LR, Correia M, Donnan GA, Ferro JM, Gongora-Rivera F, Heide W, Hennerici MG, Kelly PJ, Král M, Lin HF, Molina C, Park JM, Purroy F, Rothwell PM, Segura T, Školoudík D, Steg PG, Touboul PJ, Uchiyama S, Vicaut É, Wang Y, Wong LKS; TIAregistry.org Investigators
N Engl J Med 2018 Jun 7;378(23):2182-2190. Epub 2018 May 16 doi: 10.1056/NEJMoa1802712. PMID: 29766771
Zaman MJ, Philipson P, Chen R, Farag A, Shipley M, Marmot MG, Timmis AD, Hemingway H
Heart 2013 May;99(10):729-36. Epub 2013 Feb 13 doi: 10.1136/heartjnl-2012-302925. PMID: 23406688Free PMC Article

Clinical prediction guides

Writing Committee Members, Gulati M, Levy PD, Mukherjee D, Amsterdam E, Bhatt DL, Birtcher KK, Blankstein R, Boyd J, Bullock-Palmer RP, Conejo T, Diercks DB, Gentile F, Greenwood JP, Hess EP, Hollenberg SM, Jaber WA, Jneid H, Joglar JA, Morrow DA, O'Connor RE, Ross MA, Shaw LJ
J Cardiovasc Comput Tomogr 2022 Jan-Feb;16(1):54-122. Epub 2021 Dec 1 doi: 10.1016/j.jcct.2021.11.009. PMID: 34955448
Kumar V, Weerakoon S, Dey AK, Earls JP, Katz RJ, Reiner JS, Shaw LJ, Blankstein R, Mehta NN, Choi AD
J Cardiovasc Comput Tomogr 2021 Sep-Oct;15(5):384-393. Epub 2021 Feb 23 doi: 10.1016/j.jcct.2021.02.002. PMID: 33858808
Linde JJ, Kelbæk H, Hansen TF, Sigvardsen PE, Torp-Pedersen C, Bech J, Heitmann M, Nielsen OW, Høfsten D, Kühl JT, Raymond IE, Kristiansen OP, Svendsen IH, Vall-Lamora MHD, Kragelund C, de Knegt M, Hove JD, Jørgensen T, Fornitz GG, Steffensen R, Jurlander B, Abdulla J, Lyngbæk S, Elming H, Therkelsen SK, Jørgensen E, Kløvgaard L, Bang LE, Hansen PR, Helqvist S, Galatius S, Pedersen F, Abildgaard U, Clemmensen P, Saunamäki K, Holmvang L, Engstrøm T, Gislason G, Køber LV, Kofoed KF
J Am Coll Cardiol 2020 Feb 11;75(5):453-463. doi: 10.1016/j.jacc.2019.12.012. PMID: 32029126
Poldervaart JM, Langedijk M, Backus BE, Dekker IMC, Six AJ, Doevendans PA, Hoes AW, Reitsma JB
Int J Cardiol 2017 Jan 15;227:656-661. Epub 2016 Oct 30 doi: 10.1016/j.ijcard.2016.10.080. PMID: 27810290
Dupre CM, Libman R, Dupre SI, Katz JM, Rybinnik I, Kwiatkowski T
J Stroke Cerebrovasc Dis 2014 Feb;23(2):374-8. Epub 2013 Aug 15 doi: 10.1016/j.jstrokecerebrovasdis.2013.07.015. PMID: 23954604

Recent systematic reviews

Lovatt S, Wong CW, Holroyd E, Butler R, Phan T, Patwala A, Loke YK, Mallen CD, Kwok CS
Int J Clin Pract 2021 Dec;75(12):e14894. Epub 2021 Sep 30 doi: 10.1111/ijcp.14894. PMID: 34541754
Astarita A, Covella M, Vallelonga F, Cesareo M, Totaro S, Ventre L, Aprà F, Veglio F, Milan A
J Hypertens 2020 Jul;38(7):1203-1210. doi: 10.1097/HJH.0000000000002372. PMID: 32510905
Steffens D, Bramlage P, Scheeff C, Kasner M, Hassanein A, Friebel J, Rauch-Kröhnert U
Expert Opin Biol Ther 2020 Jan;20(1):35-47. Epub 2019 Oct 18 doi: 10.1080/14712598.2020.1677604. PMID: 31593483
Renier W, Winckelmann KH, Verbakel JY, Aertgeerts B, Buntinx F
Eur J Emerg Med 2018 Feb;25(1):3-11. doi: 10.1097/MEJ.0000000000000429. PMID: 29252938
Fanaroff AC, Rymer JA, Goldstein SA, Simel DL, Newby LK
JAMA 2015 Nov 10;314(18):1955-65. doi: 10.1001/jama.2015.12735. PMID: 26547467

Supplemental Content

Table of contents

    Clinical resources

    Practice guidelines

    • PubMed
      See practice and clinical guidelines in PubMed. The search results may include broader topics and may not capture all published guidelines. See the FAQ for details.
    • Bookshelf
      See practice and clinical guidelines in NCBI Bookshelf. The search results may include broader topics and may not capture all published guidelines. See the FAQ for details.

    Curated

    • NICE, 2020
      UK NICE guideline NG185, Acute coronary syndromes, 2020

    Consumer resources

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