By Deepak L. Bhatt, Anthony A Bavry
Acute coronary syndromes (ACS) is an umbrella time period used to explain a sequence of signs indicative of myocardial ischemia, comprising volatile angina, non-ST phase elevation myocardial infarction, and ST section elevation myocardial infarction.
Managing Acute Coronary Syndromes in medical perform is a vital source for the clinician within the administration of ACS. as well as delivering a finished review of the epidemiology and scientific presentation of ACS, it additionally courses the reader via possibility overview, possibility stratification, analysis, and remedy of ACS. The publication concludes with a dialogue on rising applied sciences within the remedy of ACS. The guide layout and considerable use of illustrations make this pocketbook a great source for basic Practitioners, Emergency drugs Physicians, Nurses, Nurse Practitioners, Pharmacists, healthcare professional Trainees, scientific scholars, Nursing scholars, and Paramedics who desire to hold updated with fresh advances within the realizing and therapy of ACS.
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Extra resources for Acute Coronary Syndromes in Clinical Practice
Identification and examination of low-risk patients. Arch Intern Med 1985; 145:65–69. 8. Henrikson CA, Howell EE, Bush DE, et al. Chest pain relief by nitroglycerin does not predict active coronary artery disease. Ann Intern Med 2003; 139:979–986. 9. Zimmerman J, Fromm R, Meyer D, et al. Diagnostic marker cooperative study for the diagnosis of myocardial infarction. Circulation 1999; 99:1671–1677. 10. Rajagopal V, Bhatt DL. Acute coronary syndrome statistics: what you don't see can hurt you. Am Heart J 2005; 149:955–956.
Enoxaparin was administered for 7 days and unfractionated heparin for 2 days (consistent with the guidelines). Virtually 100% of the participants received a thrombolytic agent, of which 80% was a fibrinspecific agent. Enoxaparin did not reduce mortality, although it did decrease myocardial infarction and urgent revascularization. Major bleeding was increased with enoxaparin. Among the patients who underwent percutaneous coronary intervention, the use of enoxaparin appeared to be superior to unfractionated heparin .
12]. during hospitalization and its continued use is associated with improved survival as well as reduced episodes of unstable angina and need for revascularization . Summary There is no perfect risk score for ACS since there is a balance between being comprehensive and completely predictive of risk versus being quick and Risk Stratification 35 simple, which may be accurate, although lack in discriminative ability. For non-ST-elevation ACS, the TIMI, PURSUIT and GRACE models all work well in predicting risk in the short term.
Acute Coronary Syndromes in Clinical Practice by Deepak L. Bhatt, Anthony A Bavry