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Acute coronary syndrome (ACS)

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1 🐼 Work / ... / 🤭 2023.05.09備份 疾病資料庫 / Acute coronary syndrome (ACS) Share Add icon Add cover Acute coronary syndrome (ACS) 專科 ❣CV 最後複習日 Empty Status Studying Sub-item Angina / Stress test 1 more property 1 backlink Definitions Epidemiology Risk factors Etiology & 分子機制 動脈粥狀硬化 → 斑塊造成血管狹窄 穩定的冠脈動脈硬化斑塊，受發炎細胞分泌之tumor necrosis factor、matrix metalloprotease等因子浸潤，會因膠原蛋白（collagen）之分解而趨於不穩定 不穩定斑塊發生崩壞、血小板接觸到血管內膜下之蛋白質成分時，會發生活化並釋出其胞內之thromboxane、serotonin、fibrinogen等因子，造成局部血管收縮，並激活更多血小板 被激活之血小板會以其表面的glycoprotein IIb/IIIa receptor彼此直接連結，形成血小板團塊 被激活之血小板釋出之thrombin會將fibrinogen轉換為fibrin，進而形成更多血栓 Clinical manifestations Lab & Examination Diagnosis Treatment Cocaine 誘發的ACS Prognosis Complications Associated diseases 可能致命的急性胸痛： 急性冠心症：AMl, unstable angina 非心臟缺血造成：AD, Pulmonary embolism（其實大部分以喘表現）, Tension pneumothorax, esophageal rupture LBBB可能會Mask RCA infarction ? Ask AI Numbered list Link Comment B i U S A 醫學三

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