's Acute Coronary Syndromes in Clinical Practice PDF

ISBN-10: 1848003579

ISBN-13: 9781848003576

This functional ebook presents a accomplished review of the epidemiology and medical presentation of acute coronary syndromes (ACS). It additionally publications the reader via threat evaluation, chance stratification, prognosis, and remedy of ACS.

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Extra info for Acute Coronary Syndromes in Clinical Practice

Sample text

Bavry AA, Mood GR, Kumbhani DJ, et al. Long-term benefit of statin therapy initiated during hospitalization for an acute coronary syndrome: a systematic review of randomized trials. Am J Cardiovasc Drugs 2007; 7:135–141. Chapter 5 Anti-platelet therapies Anti-platelet drugs are one of the fundamental therapies for improving cardiovascular outcomes among ACS patients. Medications are used adjunctively along with mechanical or chemical reperfusion. Patients who are not candidates for revascularization may only receive medical treatment for their ACS.

Karvouni and colleagues restricted their analysis to 20,137 patients with non-ST-elevation ACS treated with glycoprotein IIb/IIIa inhibitors versus placebo who routinely underwent percutaneous coronary intervention [27]. In this population, the adjunctive use of glycoprotein IIb/IIIa inhibitors during coronary revascularization produced a long-term survival advantage. In ST-elevation myocardial infarction, the use of abciximab compared with placebo was also associated with an early and long-term survival advantage [28].

15]. 6) 2 ST-segment elevation у1 mm and concordant with QRS complex CI, confidence interval. Reproduced with permission from Sgarbossa et al. [16]. Patients with paced rhythms are another group that makes diagnosis of myocardial infarction difficult. In patients who are not pacemaker dependent, the lower rate of the pacemaker can be reset below the patient’s native sinus rhythm to allow for interpretation of native ST-segments. While this may help some patients, many will have repolarization abnormalities after reverting to a native sinus rhythm, which still make ST-segments difficult to interpret.

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Acute Coronary Syndromes in Clinical Practice


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