| Abstract: | Unstable angina pectoris has been regarded for many years as an intermediate state between chronic stable angina and acute myocardial infarction. Recently it has been found that unstable angina pectoris and myocardial infarction are consequences of the same pathophysiological process--rupture or erosion of atherosclerotic plaque and joining thrombosis and embolism of distal vessels. It would be valid to use the term "acute coronary syndrome" (ACS) as a provisional diagnosis. Among AC8 patients there are patients with and without ST segment elevation. This dictates therapeutic policy and predicts the patients' survival. Two clinical cases illustrate the validity of the above division and effectiveness of adequate policy of the above patients therapy. |
