Open AccessAcute coronary syndrome: analysis of two case reports
Author(s) -
Marco Mascellanti
Publication year - 2009
Publication title -
clinical management issues
Language(s) - English
Resource type - Journals
eISSN - 2283-3137
pISSN - 1973-4832
DOI - 10.7175/cmi.v3i4.541
Subject(s) - acute coronary syndrome , medicine , timi , st segment , framingham risk score , st elevation , risk assessment , cardiology , myocardial infarction , percutaneous coronary intervention , computer security , disease , computer science
The patients presenting acute coronary syndrome without ST segment elevation can have a short and long-term risk of death or recurrent ischemic events. Therefore, the evaluation of risk is an essential step in the management of such patients. We report two cases – a 86-year-old male, and a 46-year-old one – with acute coronary syndrome with non-ST-segment elevation, showing the importance of risk assessment to determine management strategy. Two risk profile scores were used: TIMI score and GRACE score. Routine use of validated risk score may facilitate more appropriate tailoring of intensive therapies, but the clinical reasoning of the physician is essential to take right decisions