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Merck Manual
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Cardiovascular Disorders
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Coronary Artery Disease
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Coronary Artery Disease
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Overview of Coronary Artery Disease
General references
Etiology
Pathophysiology
Coronary atherosclerosis
Coronary artery spasm
Coronary artery dissection
Risk Factors
Risk factor references
Coronary Artery Anatomy
Treatment
Medical therapy
Percutaneous coronary intervention (PCI)
Coronary artery bypass grafting (CABG)
Treatment references
Prevention
Prevention references
Angina Pectoris
Etiology
Pathophysiology
Symptoms and Signs
Unstable angina
Diagnosis
ECG
Stress testing
Coronary angiography
Imaging the coronary arteries
Diagnosis references
Treatment
Medications for angina
Revascularization
Treatment references
Prognosis
Prognosis references
Key Points
Microvascular Angina
References
Vasospastic Angina
Symptoms and Signs
Diagnosis
Treatment
Treatment references
Overview of Acute Coronary Syndromes (ACS)
Classification
Etiology
Myocardial infarction in the absence of coronary artery disease (MINOCA)
Etiology references
Pathophysiology
Myocardial dysfunction
Myocardial infarction (MI)
Electrical dysfunction
Symptoms and Signs
Complications
Diagnosis
ECG
Cardiac biomarkers
Coronary angiography
Other tests
Diagnosis references
Treatment
Prehospital care
Hospital admission
Supportive care
Treatment references
Rehabilitation and Post-Discharge Treatment
Functional evaluation
Activity
Risk factor modification
Medications
Rehabilitation and post-discharge treatment references
Prognosis
Prognosis reference
Key Points
Unstable Angina
Symptoms and Signs
Diagnosis
ECG
Cardiac biomarkers
Coronary angiography
Treatment
Prehospital care
Hospital admission
Pharmacologic treatment of unstable angina
Reperfusion therapy in unstable angina
Rehabilitation and post-discharge treatment
Treatment references
Prognosis
Key Points
Acute Myocardial Infarction (MI)
General reference
Pathophysiology
Infarct location
Infarct extent
Myocardial infarction in the absence of coronary artery disease (MINOCA)
Pathophysiology references
Symptoms and Signs
Symptoms and signs references
Diagnosis
ECG
Cardiac biomarkers
Coronary angiography
Diagnosis reference
Treatment
Prehospital care
Hospital admission
Pharmacologic treatment of acute myocardial infarction
Reperfusion therapy in acute myocardial infarction
Rehabilitation and post-discharge treatment
Treatment references
Prognosis
Prognosis references
Key Points
Complications of Acute Coronary Syndromes
Sinus Node Disturbances
Sinus bradycardia
Sinus tachycardia
Atrial Arrhythmias
Atrial fibrillation
Atrial flutter
Atrial arrhythmia reference
Conduction Defects
Treatment of heart block following MI
Ventricular Arrhythmias
Ventricular tachycardia
Ventricular fibrillation
Ventricular arrhythmias reference
Heart Failure
Papillary Muscle Disorders
Papillary muscle disorders reference
Myocardial Rupture
Ventricular Aneurysm
Hypotension and Cardiogenic Shock
Hypotension
Cardiogenic shock
Hypotension and cardiogenic shock reference
Right Ventricular Ischemia or Infarction
Recurrent Ischemia
Mural Thrombosis
Mural thrombus references
Pericarditis
Post-MI Syndrome (Dressler Syndrome)
Medications for Acute Coronary Syndromes
References
Antiplatelet Agents
Patients not undergoing revascularization
Patients undergoing revascularization
Antiplatelet agent reference
Anticoagulant Agents
Unfractionated heparin
Low molecular weight heparin
Choice of heparin
Heparin alternatives
Anticoagulants reference
Beta-Blockers
Beta-blocker reference
Nitrates
Fibrinolytics
Contraindications to fibrinolytic therapy
Other Medications
Other medications references
Overview of Revascularization for Acute Coronary Syndromes
Unstable Angina and Non–ST-Segment Elevation Myocardial Infarction
ST-Segment Elevation Myocardial Infarction
General reference
Percutaneous Coronary Interventions (PCI)
Procedure
Stents
Types of stents
Stent reference
Anticoagulation and ancillary therapy
Contraindications
Complications
Thrombosis
Restenosis
Arterial dissection
Stroke
Complications reference
Coronary Artery Bypass Grafting (CABG)
Traditional CABG Procedure
Complications of coronary artery bypass grafting
Traditional CABG procedure references
Alternative CABG Procedures
Off-pump CABG
Minimally invasive CABG
Alternative CABG procedures reference