Chummun Harry, Gopaul Karina, Lutchman Anita
University of Greenwich, London, UK.
Br J Nurs. 2009;18(21):1292-8. doi: 10.12968/bjon.2009.18.21.45358.
Acute coronary syndrome (ACS) describes a spectrum of symptoms arising from the development of atherosclerosis. The degree of myocardial ischaemia depends on plaque stability and the extent of vessel occlusion. This article examines underlying pathophysiological processes and reviews current guidance and principles of managing ACS through symptom control, reducing mortality and maximizing secondary prevention. Nurses have a vital role in all aspects of delivering this care and meeting National Service Framework Standards for Coronary Heart Diseases (CHD) (2000). A clear understanding of the pathophysiological basis for ACS will reinforce clinical work, particularly in the recognition, monitoring and early management.
急性冠状动脉综合征（ACS）描述了由动脉粥样硬化发展引起的一系列症状。心肌缺血的程度取决于斑块稳定性和血管阻塞程度。本文探讨了潜在的病理生理过程，并回顾了通过症状控制、降低死亡率和最大化二级预防来管理ACS的当前指南和原则。护士在提供此类护理的各个方面以及达到冠心病（CHD）国家服务框架标准（2000年）方面发挥着至关重要的作用。对ACS病理生理基础的清晰理解将加强临床工作，尤其是在识别、监测和早期管理方面。
