| Management of unstable angina and non-ST-segment elevation myocardial infarction. | |
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MedLine Citation:
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PMID: 11480381 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Most of the patients with acute coronary syndromes present with unstable angina or non-ST-segment elevation myocardial infarction. Recent advances in the diagnosis and treatment of these conditions have changed the management guidelines, allowing for better patient care. The purpose of this review is to summarize the current knowledge and present both established and new or evolving strategies used in the treatment of patients with unstable angina and non-ST-segment elevation myocardial infarction. Use of aspirin, nitrates, beta-blockers, calcium channel blockers, and anticoagulation with unfractionated heparin has been a common practice in these patients. While still effective and recommended, the emergence of new anticoagulants (low molecular weight heparins) and antiplatelet agents (ADP inhibitors and glycoprotein IIb/IIIa blockers) has added significant benefit to the treatment options and has resulted in a better prognosis for the patients. It also appears that, in view of recent trials, an early invasive approach is becoming the standard of care, especially for high-risk patients. |
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Authors:
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H G Hanley; T M Nylk; N Nguyen |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The Journal of the Louisiana State Medical Society : official organ of the Louisiana State Medical Society Volume: 153 ISSN: 0024-6921 ISO Abbreviation: J La State Med Soc Publication Date: 2001 Jun |
Date Detail:
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Created Date: 2001-08-01 Completed Date: 2001-08-23 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 7505618 Medline TA: J La State Med Soc Country: United States |
Other Details:
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Languages: eng Pagination: 306-11 Citation Subset: IM |
Affiliation:
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Cardiology Section, Louidisns State University Health Sciences Center, Department of Internal Medicine, Shreveport, Louisiana, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Angina, Unstable
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drug therapy* Humans Myocardial Infarction / drug therapy* Platelet Glycoprotein GPIIb-IIIa Complex / therapeutic use Syndrome |
| Chemical | |
Reg. No./Substance:
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0/Platelet Glycoprotein GPIIb-IIIa Complex |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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