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Titolo:
Advances create opportunities: Implementing the major tenets of the new unstable angina guidelines in the emergency department
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: 241 - 248
SICI:
0196-0644(200109)38:3<241:ACOITM>2.0.ZU;2-N
Fonte:
ISI
Lingua:
ENG
Soggetto:
ACUTE CORONARY SYNDROMES; MOLECULAR-WEIGHT HEPARIN; ST-SEGMENT ELEVATION; ACUTE CHEST PAIN; MYOCARDIAL-INFARCTION; ROOM PATIENTS; UNFRACTIONATED HEPARIN; ARTERY DISEASE; ENOXAPARIN; MANAGEMENT;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
32
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, "Advances create opportunities: Implementing the major tenets of the new unstable angina guidelines in the emergency department", ANN EMERG M, 38(3), 2001, pp. 241-248

Abstract

Of all the clinical syndromes with which emergency physicians must deal, chest pain of coronary cause has benefited from the most striking recent advances both in diagnostic approach (cognitive and technologic) and in therapeutic options. Chest pain evaluation and management have become important foci of research in emergency medicine, and entire units are dedicated to its clinical prosecution in emergency departments and elsewhere in the hospital. New diagnostic tools are proposed and studied on a regular basis. Antiplatelet, antithrombin, and fibrinolytic agents unknown in clinical practiceas recently as 5 years ago have secured places in the emergency physician's armamentarium for treating acute coronary syndrome. Many of these diagnostic and therapeutic tools have been developed in the coronary care unit andin the cardiac catheterization laboratory. Although intuitively they may also be useful outside of those settings, they have unreliably been brought to the ED for implementation and resultant appropriate prompt and early care of the coronary patient who does not meet fibrinolytic criteria. As emergency physicians seek to bring accurate chest pain risk stratification into their practice and begin to use new therapeutic agents to minimize myocardial damage before turning the patient's care over to other specialists, it is essential that they are familiar with the data supporting these approaches. In this commentary, we seek to place the American College of Cardiology/American Heart Association unstable angina guidelines into the clinical context of the ED.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 28/03/20 alle ore 14:02:26