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Akutt koronarsyndrom

Sist revidert:
Sist revidert av:


Definisjon:
Akutt koronarsyndrom er akutte koronare smerter hvor det er uavklart om det dreier seg om ustabil angina eller hjerteinfarkt (NSTEMI eller STEMI) 
Forekomst:
Hyppig årsak til akutt innleggelse i sykehus
Symptomer:
Symptomene er akutte smerter i brystet, ev. utstrålende, ofte kvalme, brekninger, pustevansker, svimmelhet
Funn:
Smertepåvirket, ofte blek hud, rask puls
Diagnostikk: 
EKG, troponin i blod, ev. hjertekateterisering
Behandling:
Akuttbehandles med morfin, nitroglycerin og ASA, ev. oksygen. I sykehus: antitrombotisk og antiiskemisk behandling, koronar angiografi, ev. PCI
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  • Ingard Løge, spesialist allmennmedisin, redaktør NEL