+Heart problems are not just due to myocardial infarction. Acute Coronary Syndrome includes 3 things: Unstable Angina, Non-ST elevation Myocardial Infarction and ST elevation myocardial infarction.
+Most common cause of Acute Coronary Syndrome: Plaque Rupture. Thrombus develops on the top of disrupted plaque.
+Medications: Statins, ACE inhibitors stabilize fibrous cap of a coronary atheroma.
+Stop smoking, reduce stress.
+Stop Cocaine (in case if you are abusing it)
+Tests: Troponin is detected 3-6 hours after the onset of ischemia and remains elevated for 7-14 days after Myocardial infarction.
Myoglobin Test: detected 2 hours after heart attack. Peaks at 8 hours, remains elevated for less than 24 hours.
+Fibrinolysis – Dissolving the clot – should be considered in ST Elevation Myocardial Infarction.
+Stenting: Bare Metal Stent; Drug-Eluting Stent.
-After stenting: Consider aspirin, Clopidogrel
-Coronary Bypass surgery: useful especially in Left vessel disease.
+ST Elevation Myocardial Infarction: look for ST elevation on EKG.
+Pericarditis; Diffuse ST Elevation.
+After MI: ACE inhibitor, Beta Blocker, Statins, Aspirin improve survival.
+Statins lower cardiovascular events. Atorvastatin, rosuvastatin, Atorvastatin etc.
+Prevent Metabolic Syndrome: Decrease cholesterol; prevent obesity.