Document Detail


Acute coronary syndrome update for hospitalists.
MedLine Citation:
PMID:  20842746     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
Acute coronary syndromes (ACSs)--unstable angina, non-ST-segment (ST, part of an electrocardiogram between the QRS complex and the T wave) or ST-segment elevation myocardial infarction (MI)--remain extremely common and clinically challenging. In addition to electrocardiography and biomarkers, formal risk stratification using risk scores has become an important part of the initial evaluation of patients with ACS. On the basis of the estimated risk of subsequent ischemic events, the optimal use and timing of cardiac catheterization and revascularization procedures can be determined. Additionally, antiplatelet and anticoagulant therapy can be instituted, with consideration given to both the ischemic and bleeding risks in an individual patient. A particular challenge in ACS management has been the rapid evolution of guidelines in response to new randomized clinical trial and registry data. Understanding and implementing the recommendations in these evidence-based guidelines are important parts of hospitalists' practice.
Authors:
Deepak L Bhatt
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of hospital medicine : an official publication of the Society of Hospital Medicine     Volume:  5 Suppl 4     ISSN:  1553-5606     ISO Abbreviation:  J Hosp Med     Publication Date:  2010 Sep 
Date Detail:
Created Date:  2010-09-15     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101271025     Medline TA:  J Hosp Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  S15-21     Citation Subset:  IM    
Copyright Information:
© 2010 Society of Hospital Medicine.
Affiliation:
Cardiology, VA Boston Healthcare System, Boston, Massachusetts, USA. dlbhattmd@post.harvard.edu
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