Document Detail

Acute coronary syndromes: management and secondary prevention.
MedLine Citation:
PMID:  18273575     Owner:  NLM     Status:  MEDLINE    
Acute coronary syndromes represent a broad spectrum of ischemic myocardial events including unstable angina, non-ST elevation myocardial infarction and acute ST elevation myocardial infarction, which are associated with high morbidity and mortality. They constitute the most frequent cause of hospital admission related to cardiac disease. Early diagnosis and risk stratification are essential for initiation of optimal medical and invasive management. Therapeutic measures comprise aggressive antiplatelet, antithrombotic, and anti-ischemic agents. In addition, patients with high-risk features, notably positive troponin, ST segment changes and diabetes, benefit from an early invasive as compared to a conservative strategy. Importantly, lifestyle interventions, modification of the risk factor profile, and long-term medical treatment are of pivotal importance in reducing the long-term risk of recurrence.
Peter Wenaweser; Stephan Windecker
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Herz     Volume:  33     ISSN:  0340-9937     ISO Abbreviation:  Herz     Publication Date:  2008 Feb 
Date Detail:
Created Date:  2008-02-14     Completed Date:  2008-05-20     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7801231     Medline TA:  Herz     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  25-37     Citation Subset:  IM    
Department of Cardiology, University Hospital, Bern, Switzerland.
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MeSH Terms
Acute Coronary Syndrome / diagnosis*,  prevention & control,  therapy*
Cardiotonic Agents / therapeutic use*
Cardiovascular Surgical Procedures
Fibrinolytic Agents / therapeutic use*
Physician's Practice Patterns
Practice Guidelines as Topic
Recurrence / prevention & control
Reg. No./Substance:
0/Cardiotonic Agents; 0/Fibrinolytic Agents

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