Acute Coronary Syndromes

Dr. David A. Morrow is the director of the Cardiac Intensive Care Unit (CICU) at Brigham and Women's Hospital (BWH). A cardiovascular medicine specialist, he is also a professor of medicine at Harvard Medical School (HMS).He received his medical degree from HMS. He completed an internal medicine residency and a cardiology fellowship at BWH. He is board certified in internal medicine and cardiovascular disease. Dr. Morrow's clinical interests include cardiac intensive care and ischemic heart disease. At the CICU, he designed and implemented a new multidisciplinary program-the BWH Acute Aortic Syndrome Program and the Shock Team-that helps streamline and improve aortic care and shock management. Dr. Morrow's research centers on clinical management strategies and novel therapeutics for ischemic heart disease. This includes both stable and unstable ischemic syndromes, with a related focus on the use of cardiovascular biomarkers for risk stratification and clinical decision-making. The author of over 200 peer-reviewed publications, he has received research funding from the National Institutes of Health. Castle Connolly has listed him as one of America's Top Doctors. Dr. Giugliano is a Staff Physician in the Cardiovascular Division at Brigham and Women's Hospital and Professor of Medicine at Harvard Medical School. DR Giugliano obtained his medical degree from HMS. He completed a residency and chief residency program in internal medicine from Cedars-Sinai Medical Center in Los Angeles. He then completed a cardiology fellowship at Massachusetts General Hospital and an internal medicine research fellowship with TIMI at BWH. He is board certified in cardiovascular disease. Dr Giugliano has authored over 250 peer-reviewed articles and chapters, serves as a reviewer and/or Editorial Board for over two dozen journals, and has delivered hundreds of lectures throughout the US and abroad.

• SECTION I OVERVIEW1 Overview of the Patient With Acute Coronary Syndrome2 Classification and Diagnosis of Acute Coronary SyndromesSECTION II INITIAL EVALUATION & RISK STRATIFICATION3 Prehospital Assessment and Systems of Care4 Clinical Approach to Suspected Acute Coronary Syndrome5 Acute Cardiac Imaging for Patients With Chest Pain in the Emergency Department6 Risk Stratification in Acute Coronary Syndromes7 Emergency Department Evaluation of the Lower-Risk Patient: Whom Can You Send Home?SECTION III INITIAL TREATMENT8 Selection of Reperfusion Therapy and Transfer Strategies for Patients With STEMI9 Fibrinolytic Therapy for Patients With STEMI10 Revascularization in Non-ST-Elevation Acute Coronary Syndrome: For Whom, When, and How?11 Approach to Percutaneous Coronary Intervention in Myocardial Infarction12 Acute Coronary Syndrome: Selection of Initial Anticoagulant Therapy13 Overview of Antiplatelet Therapy for Acute Coronary SyndromeSECTION IV IN-HOSPITAL EVALUATION14 Approach to Noninvasive Testing After Presentation With Acute Coronary Syndrome15 Echocardiography in Patients With Acute Coronary Syndrome16 Nuclear Cardiology Techniques After Acute Coronary Syndrome17 Cardiac Magnetic Resonance Imaging After Presentation With Acute Coronary Syndrome18 Optical Coherence Tomography and Other Intracoronary Diagnostic ProceduresSECTION V IN-HOSPITAL COMPLICATIONS19 Reperfusion Injury: Prevention and Management20 Recurrent Ischemia: Detection, Diagnosis, and Outcomes21 Heart Failure and Cardiogenic Shock in Acute Coronary Syndromes22 Mechanical Complications of Myocardial Infarction23 Arrhythmias and Sudden Cardiac Death After Myocardial Infarction24 Epidemiology and Management of Bleeding in Acute Coronary SyndromesSECTION VI SECONDARY PREVENTION AFTER ACS25 Oral Anticoagulation Therapy After Acute Coronary Syndrome26 Antiplatelet Therapy After Acute Coronary Syndrome27 Anti-inflammatory Therapy After Acute Coronary Syndrome28 Management of the Patient With ACS in the Absence of Obstructive Coronary Artery Disease (MINOCA, SCAD, Coronary Artery Spasm)29 New Concepts in Cardiac Rehabilitation and Secondary Prevention After Acute Coronary Syndrome30 Tackling the Problem of Adverse Ventricular Remodeling After Myocardial InfarctionSECTION VII EPIDEMIOLOGY AND PATHOBIOLOGY31 Global Evolving Epidemiology, Natural History, and Treatment Trends of Acute Coronary Syndrome32 Mechanisms of Myocardial Ischemic Injury, Healing, and Remodeling