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Angina pectoris, instabil

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Definition:
Symtom som misstänks bero på kardiell ischemi, utlöses av minimal/ingen aktivitet men utan tecken på kardiell skada.
Förekomst:
Av alla fall med akuta bröstsmärtor är cirka 10 % instabil angina pectoris.
Symtom:
Anginösa bröstsmärtor i vila eller efter minimal ansträngning. 
Kliniska fynd:
Oftast inga.
Diagnostik:
Bör utredas som möjlig hjärtinfarkt, där EKG och troponinnivåer ingår. Ibland behövs angiografi.
Behandling:
Akut behandling mot ischemi, trombocythämning. Eventuellt revaskularisering. Sekundärprevention med läkemedel. Förändringar i levnadsvanor är oftast aktuellt.
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  • Remy Waardenburg, specialist i allmänmedicin, medicinsk redaktör Medibas

Tidigare sakkunniga

  • Eva Swahn, professor och överläkare, Kardiologiska kliniken, Universitetssjukhuset Linköping