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How can we optimize the processes of care for acute coronary syndromes to improve outcomes?
MedLine Citation:
PMID:  25440789     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Acute coronary syndromes (ACS), either ST-elevation myocardial infarction or non-ST-elevation ACS, are still one of the most common cardiac emergencies with substantial morbidity and mortality. The availability of evidence-based treatments, such as early and intense platelet inhibition and anticoagulation, and timely reperfusion and revascularization, has substantially improved outcomes in patients with ACS. The implementation of streamlined processes of care for patients with ST-elevation myocardial infarction and non-ST-elevation ACS over the last decade including both appropriate tools, especially cardiac troponin, for rapid diagnosis and risk stratification and for decision support, and the widespread availability of modern antithrombotic and interventional treatments, have reduced morbidity and mortality to unprecedented low levels. These changes in the process of care require a synchronized approach, and research using a team-based strategy and effective regional networks has allowed healthcare systems to provide modern treatments for most patients with ACS. There are still areas needing improvement, such as the delivery of care to people in rural areas or with delayed time to treatment.
Authors:
Lars Wallentin; Steen Dalby Kristensen; Jeffrey L Anderson; Marco Tubaro; José Luis Lopez Sendon; Christopher B Granger; Christoph Bode; Kurt Huber; Eric R Bates; Marco Valgimigli; Philippe Gabriel Steg; E Magnus Ohman
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Publication Detail:
Type:  REVIEW     Date:  2014-7-21
Journal Detail:
Title:  American heart journal     Volume:  168     ISSN:  1097-6744     ISO Abbreviation:  Am. Heart J.     Publication Date:  2014 Nov 
Date Detail:
Created Date:  2014-12-2     Completed Date:  -     Revised Date:  2014-12-3    
Medline Journal Info:
Nlm Unique ID:  0370465     Medline TA:  Am Heart J     Country:  -    
Other Details:
Languages:  ENG     Pagination:  622-631.e2     Citation Subset:  -    
Copyright Information:
Copyright © 2014 Elsevier Inc. All rights reserved.
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