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Titolo:
2000 ACC/AHA guidelines for the management of patients with unstable angina and non-ST-segment elevation myocardial infarction: A practical summary for emergency physicians
Autore:
Pollack, CV; Gibler, WB;
Indirizzi:
Penn Hosp, Philadelphia, PA 19107 USA Penn Hosp Philadelphia PA USA 19107Penn Hosp, Philadelphia, PA 19107 USA Univ Cincinnati, Med Ctr, Cincinnati, OH 45267 USA Univ Cincinnati Cincinnati OH USA 45267 Med Ctr, Cincinnati, OH 45267 USA
Titolo Testata:
ANNALS OF EMERGENCY MEDICINE
fascicolo: 3, volume: 38, anno: 2001,
pagine: 229 - 240
SICI:
0196-0644(200109)38:3<229:2AGFTM>2.0.ZU;2-F
Fonte:
ISI
Lingua:
ENG
Soggetto:
CORONARY-ARTERY DISEASE; MOLECULAR-WEIGHT HEPARIN; ACUTE CARDIAC ISCHEMIA; TROPONIN-I; CHEST PAIN; UNFRACTIONATED HEPARIN; THROMBOLYTIC THERAPY; RISK STRATIFICATION; COCAINE; TRIAL;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
41
Recensione:
Indirizzi per estratti:
Indirizzo: Pollack, CV Penn Hosp, 800 Spruce St, Philadelphia, PA 19107 USA Penn Hosp800 Spruce St Philadelphia PA USA 19107 PA 19107 USA
Citazione:
C.V. Pollack e W.B. Gibler, "2000 ACC/AHA guidelines for the management of patients with unstable angina and non-ST-segment elevation myocardial infarction: A practical summary for emergency physicians", ANN EMERG M, 38(3), 2001, pp. 229-240

Abstract

There have been numerous significant clinical advances in both the diagnosis and therapy of acute coronary syndrome during the past several years. Even the term "acute coronary syndrome" is a recent creation meant to expand clinical attention in patients with chest pain of coronary origin beyond identification of ST-segment elevation myocardial infarction and prompt initiation of reperfusion therapy and to include the evaluation and management of those patients with unstable angina (UA) or myocardial injury that does not cause ST-segment elevation. Many of these advances have been studied andfirst implemented outside the emergency department, leading some emergencyphysicians to be slow to embrace them, and leaving others without a viablepractical option to use them outside of the cardiac catheterization laboratory or the coronary care unit. In September 2000, the American College of Cardiology and the American Heart Association issued practice guidelines for the care of patients with UA and non-ST-segment elevation myocardial infarction. The guidelines specifically address the diagnosis and management ofUA and non-ST-segment elevation myocardial infarction in the ED, suggesting evidence-based standards for risk stratification, for the use of biologicmarkers of myocardial damage and other adjunctive diagnostic tests, and for the appropriate use of antiplatelet and antithrombin therapeutic agents. This article provides an overview of the ED-pertinent analyses and recommendations from the 93-page document. A commentary on the implementation of these recommendations in the ED follows in a separate article.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 06/04/20 alle ore 05:33:31