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What causes acute coronary syndrome?

Acute coronary syndrome due to tear or damage to the inside (endothelium) of a coronary artery with the formation of a blood clot (thrombus). Clinical picture varies to the degree of blockage in the artery, the scope of trombedanning and the size in the area which receives its blood supply from the artery. The heart has more coronary arteries, and the prognosis is highly dependent on the artery that is thrombotic closed.

Anterior descending branch of the left coronary artery supplies 40-55% of the left ventricle. Occlusion of the circulation in the first part of this artery is the cause of more than 60% of all deaths from severe myocardial infarction four Hamm CW, Goldmann BU, Berger J, Kreymann G, Heesch C, Meinertz T. Cardiac troponin T rapid test in patients in acute chest pain in emergency-room triage or troponin, I. N Engl J Med 1997; 337: 1648-1653. NEJM, Ioannidis JP, six Balk EM, Chew PW, Salem D, Lau J. Accuracy of biomarkers two diagnosed acute cardiac ischemia in the emergency department: a meta-analysis it is therefore, particularly important to diagnose and treat these patients before they develop total blockages of the artery with a major heart attack as a result.

causes acute coronary syndromes applying koch's postulates

Why is early detection so important?
Today's good and relatively simple treatment to remove the clot that blocks the coronary artery. This is done by so-called coronary angiography (see video ) and cardiac catheterization - in some cases performed bypass surgery. Thus, the flow in the blocked coronary artery improves and prevents the heart muscle is permanently weakened. Heart attacks can be prevented or be frequently less than what it was likely. Accordingly, also forecast much better.

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