Test Your Skills, a Critical Images slideshow, to help identify a variety of electrocardiographic abnormalities.Morel O, El Ghannudi S, Jesel L, Radulescu B, Meyer N, Wiesel ML, et al.The inability of B-type natriuretic protein to predict short-term risk of death or myocardial infarction in non-heart-failure patients with marginally increased troponin levels.
Kohli P, Wallentin L, Reyes E, Horrow J, Husted S, Angiolillo DJ, et al.She is symptomatic on arrival, complaining of shortness of breath and precordial chest tightness.The EvidenceCare Acute Coronary Syndrome pathway is based onn of the 2013 American.
Roe MT, Harrington RA, Prosper DM, Pieper KS, Bhatt DL, Lincoff AM, et al.Patients with end-stage renal disease often develop ACS, and little is known about the natural history of ACS in patients receiving dialysis.
The terms transmural and nontransmural (subendocardial) myocardial infarction are no longer used because ECG findings in patients with this condition are not closely correlated with pathologic changes in the myocardium.James SK, Lindahl B, Siegbahn A, Stridsberg M, Venge P, Armstrong P, et al.Acute coronary syndrome is chest pain and other symptoms that happen because the heart.Litt HI, Gatsonis C, Snyder B, Singh H, Miller CD, Entrikin DW, et al.Aspirin is the single drug that will have the greatest potential impact on subsequent morbidity.The vulnerable plaque is typified by a large lipid pool, numerous inflammatory cells, and a thin, fibrous cap.Computed Tomography Coronary Angiography and CT Coronary Artery Calcium Scoring.
The prognostic value of B-type natriuretic peptide in patients with acute coronary syndromes.Imaging evidence of new loss of viable myocardium or new regional wall motion abnormality.Rosner GF, Kirtane AJ, Genereux P, Lansky AJ, Cristea E, Gersh BJ, et al.Apixaban with antiplatelet therapy after acute coronary syndrome.Six-month mortality rates in the Global Registry of Acute Coronary Events (GRACE) were 13% for patients with NSTEMI ACS and 8% for those with unstable angina.Although OCTAVIA was not powered for clinical end points, no significant differences in death, reinfarction, stroke, stent thrombosis, or target vessel reintervention were evident at one year.Admission glycaemia and its association with acute coronary syndrome in Emergency Department patients with chest pain.
Patients should be informed about the benefits of a low-cholesterol, low-salt diet.A prospective natural-history study of coronary atherosclerosis.
The following mnemonic may useful in educating patients with CAD regarding treatments and lifestyle changes necessitated by their condition.For the first time, ESC Guidelines published today give the highest degree of recommendation for the radial approach over the femoral one for coronary angiography and percutaneous coronary intervention (PCI) in patients with acute coronary syndromes (ACS).Radial over femoral access is recommended for coronary angiography and PCI (Class I, Level of Evidence A).
guidelines of cardiac care for acute coronary syndrome
acute coronary syndrome - UpToDateEfficacy and safety of fondaparinux in patients with ST-segment elevation myocardial infarction across the age spectrum.
Current guidelines for patients with moderate- or high-risk ACS include the following.Wiviott SD, Braunwald E, McCabe CH, Montalescot G, Ruzyllo W, Gottlieb S, et al.Influence of comorbid conditions on one-year outcomes in non-ST-segment elevation acute coronary syndrome.Clinical Events as a Function of Proton Pump Inhibitor Use, Clopidogrel Use, and Cytochrome P450 2C19 Genotype in a Large Nationwide Cohort of Acute Myocardial Infarction: Results From the French Registry of Acute ST-Elevation and Non-ST-Elevation Myocardial Infarction (FAST-MI) Registry.Hubbard BL, Newton CR, Carter PM, Fowler JJ, Schaldenbrand J, Singal B, et al.Laboratory studies that may be helpful include the following.
Acute coronary syndrome. management of acute coronary syndromes in patients.Roe MT, Armstrong PW, Fox KA, White HD, Prabhakaran D, Goodman SG, et al.Kavsak PA, MacRae AR, Newman AM, Lustig V, Palomaki GE, Ko DT, et al.
Diagnosis and Management of Acute Coronary Syndrome: AnMorrow DA, Scirica BM, Karwatowska-Prokopczuk E, Murphy SA, Budaj A, Varshavsky S, et al.
2015 ESC guidelines for the management of acute coronaryImmunosuppressive Therapy with Oral Prednisone to Prevent Restenosis after PCI.Long-term use of ticagrelor in patients with prior myocardial infarction.
Drug-eluting stents versus coronary artery bypass grafting for the treatment of coronary artery disease: a meta-analysis of randomized and nonrandomized studies.Newby LK, Christenson RH, Ohman EM, Armstrong PW, Thompson TD, Lee KL, et al.In-hospital management of patients with comorbid conditions merits further investigation.Diagnostic imaging modalities that may be useful include the following.Prognostic value of cardiac markers in ESRD: Chronic Hemodialysis and New Cardiac Markers Evaluation (CHANCE) study.
Prehospital delay and its impact on time to treatment in ST-elevation myocardial infarction.Educate patients about the dangers of cigarette smoking, a major risk factor for coronary artery disease (CAD).Edward Bessman, MD, MBA is a member of the following medical societies: American Academy of Emergency Medicine, American College of Emergency Physicians, and Society for Academic Emergency Medicine.Clinical Practice Guidelines and Scientific Statements of the ESC are prepared by Task Forces.Data are plotted on a relative scale, where 1.0 is set at the myocardial-infarction cutoff concentration.Wood S. STEMI in Women: Same Plaques, Same Stent Outcomes: OCTAVIA.