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Titolo:
New approaches to diagnosis and management of unstable angina and non-ST-segment elevation myocardial infarction
Autore:
ORourke, RA; Hochman, JS; Cohen, MC; Lucore, CL; Popma, JJ; Cannon, CP;
Indirizzi:
Univ Texas, Hlth Sci Ctr, Div Cardiol, Dept Med, San Antonio, TX 78284 USAUniv Texas San Antonio TX USA 78284 , Dept Med, San Antonio, TX 78284 USA Roosevelt Hosp, New York, NY USA Roosevelt Hosp New York NY USARoosevelt Hosp, New York, NY USA Hahnemann Univ Hosp, Philadelphia, PA 19102 USA Hahnemann Univ Hosp Philadelphia PA USA 19102 Philadelphia, PA 19102 USA Brigham & Womens Hosp, Boston, MA 02115 USA Brigham & Womens Hosp Boston MA USA 02115 mens Hosp, Boston, MA 02115 USA Prairie Cardiovasc Consultants Ltd, Springfield, IL USA Prairie CardiovascConsultants Ltd Springfield IL USA pringfield, IL USA
Titolo Testata:
ARCHIVES OF INTERNAL MEDICINE
fascicolo: 5, volume: 161, anno: 2001,
pagine: 674 - 682
SICI:
0003-9926(20010312)161:5<674:NATDAM>2.0.ZU;2-#
Fonte:
ISI
Lingua:
ENG
Soggetto:
ACUTE CORONARY SYNDROMES; ARTERY DISEASE; TROPONIN-T; RISK STRATIFICATION; PROGNOSTIC VALUE; ELECTROCARDIOGRAM; THROMBOLYSIS; ISCHEMIA; HEPARIN; THERAPY;
Tipo documento:
Review
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
43
Recensione:
Indirizzi per estratti:
Indirizzo: O'Rourke, RA Univ Texas, Hlth Sci Ctr, Div Cardiol, Dept Med, 7703 Floyd Curl Dr, San Antonio, TX 78284 USA Univ Texas 7703 Floyd Curl Dr San AntonioTX USA 78284 84 USA
Citazione:
R.A. O'Rourke et al., "New approaches to diagnosis and management of unstable angina and non-ST-segment elevation myocardial infarction", ARCH IN MED, 161(5), 2001, pp. 674-682

Abstract

Recently, it has been demonstrated in multiple clinical research studies that non-Q-wave myocardial infarction shares many of the features of unstable angina pectoris and that both diseases initially are managed similarly. Important new antiplatelet drugs (glycoprotein IIb-IIIa inhibitors) and antithrombin agents (low-molecular-weight heparin) are currently recommended for patients with unstable angina pectoris/non-ST-segment elevation MI who are at high or intermediate risk on the basis of symptoms, electrocardiographic findings, and the presence or absence of serum markers leg, troponin I, troponin T, and creatine kinase-MB). This review provides important information concerning the results of clinical studies of glycoprotein IIb-IIIa inhibitors (tirofiban hydrochloride and eptifibatide) when used with unfractionated heparin in patients with this syndrome or with low-molecular weight heparin (enoxaparin sodium) in similar patients. The Thrombolysis in Myocardial Infarction IIIB, Veterans Affairs Non-Q-Wave Infarction Studies in Hospital, and Fast Revascularization During Instability in Coronary Artery Disease II studies evaluating a conservative, ischemia-guided approach vs an early aggressive approach to such patients are presented, with a practical algorithm for treating such patients.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 02/12/20 alle ore 05:38:12