Syndromes coronaires aigus

Acute coronary syndromes are documented with and without ST-segment elevation. Angioplasty in emergency provides better results than fibrinolysis in acute ST-elevation syndromes. In non-ST-segment elevation, the choice between fibrinolysis and angioplasty depends on the balance between ischemic and hemorrhagic risks. Antiplatelet agents (aspirin, and platelet glycoprotein IIb/IIa inhibitors) are administered as soon as possible in combination with anticoagulants (fondaparinux, low molecular weight heparins).