Acute Coronary Syndrome Explained: STEMI, NSTEMI & Unstable Angina Made Easy

Acute Coronary Syndrome Explained: STEMI, NSTEMI & Unstable Angina Made Easy Acute Coronary Syndrome (ACS) is a spectrum of life-threatening conditions caused by acute myocardial ischemia, including STEMI, NSTEMI, and unstable angina. Rapid diagnosis and timely intervention are critical to reduce mortality and improve outcomes. In this video, we cover: 🫀 Pathophysiology Atherosclerotic plaque rupture Thrombus formation Coronary artery occlusion (partial or complete) ⚠️ Clinical presentation Central chest pain (pressure, squeezing, heaviness) Radiation to left arm, jaw, or back Dyspnea, diaphoresis, nausea, vomiting Atypical symptoms in elderly, diabetic, and women 📊 ECG interpretation STEMI criteria and localization ST depression and T wave inversion (NSTEMI/ischemia) Posterior and right ventricular MI patterns Dynamic ECG changes 🧪 Diagnostic workup High-sensitivity troponin Serial ECGs Risk stratification scores (TIMI, GRACE) Bedside echocardiography 🚨 Emergency management MONA (with updated evidence considerations) Dual antiplatelet therapy (aspirin + P2Y12 inhibitor) Anticoagulation (heparin-based therapy) Reperfusion therapy: Primary PCI (preferred) Thrombolysis when PCI unavailable Beta-blockers, statins, ACE inhibitors 🫀 STEMI pathway Door-to-balloon time importance Indications for thrombolysis Post-MI management 🧠 Clinical pearls Do NOT miss atypical ACS presentations ECG first, troponin second “Time is myocardium” principle Differentiate from pericarditis, aortic dissection, GERD This lecture is designed for emergency physicians, internists, cardiologists, intensivists, residents, and medical students in Cambodia and worldwide. 🎯 Learning Objectives By the end of this video, viewers will be able to: Recognize ACS early based on symptoms and ECG Differentiate STEMI, NSTEMI, and unstable angina Initiate evidence-based emergency treatment Understand reperfusion strategies and timing #AcuteCoronarySyndrome #ACS #STEMI #NSTEMI #MyocardialInfarction #Cardiology #EmergencyMedicine #ChestPain #ECG #CriticalCare #InternalMedicine #MedicalEducation #PhysicianEducation #CambodianPhysicians #MedEd 👉 សម្រាប់ព័ត៌មានបន្ថែមសូមទំនាក់ទំនង៖ Telegram: ➡️ https://t.me/Cchandarith 👉 Join Group Telegram: Medical Tourism: ➡️ https://t.me/medicaltourists / 👉 Join our channel: https://t.me/medicaltouri