Myocardial Infarction, Unstable Angina, and White Thrombi: Time to Move Forward?

Diagnostic and Therapeutic Resources for Risk Stratification of Patients With Acute Coronary Syndrome

“…Regardless of the lesser precision to distinguish acute myocardial infarction (AMI) in its inner third extending across the entire thickness of the endocardial wall in AMI (through the Q wave), the electrocardiogram is essential for the diagnosis of patients with unstable myocardial ischemic syndromes non-ST segment elevation. 2 Momentary changes that occur in the aforementioned syndrome, such as inversion of the T wave, constitute relevant predictive indicators for the occurrence of early mortality or obstruction of arterial circulation. Generally, when the result of the electrocardiographic examination indicates no changes, this fact should not eliminate the investigation of unstable myocardial ischemic syndromes without ST-segment elevation.…”

“…Thus, patients with ACS must be treated promptly. 2 A large part of deaths could have been prevented if they had been taken in due time to a hospital unit that adequately would manage this dreadful event through a specialized team that appropriates diagnostic, therapeutic resources, and risk classification so that the propaedeutics is adequate to stabilize these conditions which are often challenging. 3 The obstruction and consequent reduction in coronary flow are commonly due to the atheroma physical disruption with the posterior constitution of obliterating clots.…”

“…The clinical presentation of coronary artery disease (CAD) can be identified in its chronic form, as stable angina, and in the acute form, as acute coronary syndromes (ACSs), with or without ST-segment elevation. 2 A detailed interview associated with clinical consultation performs a key function in the risk classification of individuals who have unstable myocardial ischemic syndromes without ST-segment elevation. 1 The risk stratification approach has been widely utilized, and advances have occurred in accordance with the standards suggested by several scholars on the subject, mainly with regard to the quantification of troponin, allowing for efficient classification, especially of those patients with the insufficient arterial flow.…”

“…1 The risk stratification approach has been widely utilized, and advances have occurred in accordance with the standards suggested by several scholars on the subject, mainly with regard to the quantification of troponin, allowing for efficient classification, especially of those patients with the insufficient arterial flow. 2 This brief review aims to discuss the resources currently available for adequate care for victims of acute coronary heart disease in a timely manner, with crucial treatment as well as invasive and noninvasive diagnostic methods that make all the differences in reducing mortality and risks arising from these morbid conditions.…”

Editorial Compilation VI

“…As usual for these nonthematic issues of STH, this issue also has some correspondence, [30][31][32] including an unusual case of FV deficiency associated with thrombosis. We also include in this issue of STH, somewhat less typically, a meeting report 33 and also an Editorial.…”