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Titolo:
Issues in early risk stratification for UA/NSTEMI
Autore:
Antman, EM; Corbalan, R; Huber, K; Jaffe, AS;
Indirizzi:
Brigham & Womens Hosp, Boston, MA 02115 USA Brigham & Womens Hosp Boston MA USA 02115 mens Hosp, Boston, MA 02115 USA Catholic Univ Hosp, Santiago, Chile Catholic Univ Hosp Santiago ChileCatholic Univ Hosp, Santiago, Chile Univ Vienna, Vienna, Austria Univ Vienna Vienna AustriaUniv Vienna, Vienna, Austria Mayo Clin, Rochester, MN USA Mayo Clin Rochester MN USAMayo Clin, Rochester, MN USA
Titolo Testata:
EUROPEAN HEART JOURNAL SUPPLEMENTS
fascicolo: J, volume: 3, anno: 2001,
pagine: J6 - J14
SICI:
1520-765X(200108)3:J<J6:IIERSF>2.0.ZU;2-E
Fonte:
ISI
Lingua:
ENG
Soggetto:
ACUTE CORONARY SYNDROMES; CARDIAC TROPONIN-T; ST-SEGMENT ELEVATION; UNSTABLE ANGINA; CHEST PAIN; MYOCARDIAL-INFARCTION; MANAGEMENT; MORTALITY; OUTCOMES;
Keywords:
unstable angina; risk stratification; troponins; guidelines;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
16
Recensione:
Indirizzi per estratti:
Indirizzo: Antman, EM Brigham & Womens Hosp, 75 Francis St, Boston, MA 02115 USA Brigham & Womens Hosp 75 Francis St Boston MA USA 02115 115 USA
Citazione:
E.M. Antman et al., "Issues in early risk stratification for UA/NSTEMI", EUR H J SUP, 3(J), 2001, pp. J6-J14

Abstract

North American and European task forces representing the ACC/AHA and the ESC have recently developed new treatment guidelines for the management of unstable angina (UA) and non-ST-segment elevation myocardial infarction (NSTEMI). At the 4th Annual Experts' Meeting of the International Cardiology Forum, workshops were held to review the new recommendations. In the discussion of risk stratification, the most debated topic was the role assigned to the cardiac-specific troponins (cTnI and cTnT). Although the importance of these indicators in an integrated risk stratification scheme was well accepted, some participants felt that they received undue emphasis in the new guidelines, and the implication that troponin status should determine use of a glycoprotein IIb/IIIa inhibitor and early catheterization was debated. The value of continuous versus serial ECG monitoring was also discussed, but no consensus was reached. Although many were encouraged by the data oil C-reactive protein (CRP) as a prognostic indicator, it was generally agreed that it is too soon to recommend its routine Measurement in ACS. Finally, risk stratification is a complex. ongoing process that is impossible to reduceto a simple treatment algorithm. (C) 2001 The European Society of Cardiology.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 31/05/20 alle ore 12:19:15