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Heart. 2013 Oct;99(20):1488-93. doi: 10.1136/heartjnl-2013-304649. Epub 2013 Aug 14.

Almanac 2013: acute coronary syndromes.

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  • 1Division of Cardiology, Yale Medical School, , New Haven, Connecticut, USA.


Unstable coronary artery plaque is the most common underlying cause of acute coronary syndromes (ACS) and can manifest as unstable angina, non-ST segment elevation infarction (NSTE-ACS), and ST elevation myocardial infarction (STEMI), but can also manifest as sudden cardiac arrest due to ischaemia induced tachyarrhythmias. ACS mortality has decreased significantly over the last few years, especially from the more extreme manifestations of ACS, STEMI, and cardiac arrest. This trend is likely to continue based on recent therapeutic progress which includes novel antiplatelet agents such as prasugrel, ticagrelor, and cangrelor.


Coronary Artery Disease; Interventional Cardiology

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