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Linking Biochemical, Pathologic, and Clinical Events in Acute Coronary Syndromes

  • Richard C. Becker
Part of the Contemporary Cardiology book series (CONCARD)

Abstract

Acute coronary syndromes represent the ultimate clinical expression of biochemical events and pathological processes occurring within atherosclerotic plaques. The sudden or rapidly progressive transition from a stable to an unstable clinical state implies increasing activity within the atheromatous core. Indeed, patients with unstable angina, non-ST-segment elevation myocardial infarction (MI), and ST-segment elevation MI are all at the metamorphosis stage of their disease. Much like physiologic hemostasis, pathologic thrombosis, representing the final common event that links acute coronary syndromes, represents a response to localized vascular injury and inflammation; however, unlike normal hemostasis, the cascade of events that follows is poorly regulated and responsible for compromised myocardial perfusion and at times cellular death.

Keywords

Acute Coronary Syndrome Atherosclerotic Plaque Unstable Angina Tissue Factor Plasminogen Activator Inhibitor 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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© Springer Science+Business Media New York 1999

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  • Richard C. Becker

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