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Acute coronary syndrome (ACS) is the acute presentation of coronary artery disease (CAD) which is manifested as unstable angina (UA), ST segment elevation myocardial infarction (STEMI) or non- ST segment elevation myocardial infarction …
Nearly 1.5 million people are hospitalized with ACS annually, out of which more than two-thirds suffer from UA and NSTEMI (Lloyd-Jones et al. 2009). Globally, ACS is a leading cause of death in pre hospital setting as well as in hospitalized patients. Thus, it is imperative that identification of patients with ACS is quick and accurate, risk stratification is done and management is commenced as early as possible to achieve good outcomes in the short and long turn (Housholder-Hughes, 2011). The role of nurses in the management of ACS is crucial in all aspects, be it diagnosis and assessment, triage, pharmacotherapy, perioperative management, critical care, postoperative care, discharge and rehabilitation. All nurses should have evidence based knowledge so that they can make informed decisions in the management of an ACS patient. This review aims to describe the pathophysiology, nursing diagnoses and assessment, and nursing interventions of acute coronary syndrome. Current research and articles relevant to the aforementioned topics were reviewed and analyzed in order to provide a base for evidence based practice. The literature was retrieved by performing a MEDLINE and Google/Google Scholar search on the internet combined with a manual search for journals and books pertaining to the above mentioned topics. ...
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