Document Detail


Revised guidelines for the management of non-ST-segment elevation acute coronary syndromes.
MedLine Citation:
PMID:  12801448     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Unstable angina (UA) and non-ST-segment elevation myocardial infarction (NSTEMI) refer to a spectrum of acute severe cardiac disorders characterized by myocardial oxygen demand and supply mismatch, caused by atherosclerotic coronary artery disease. Patients presenting with acute coronary syndromes represent a major medical problem, accounting for 2.5 million hospitalizations and 500000 deaths annually in the United States alone. Of these, 1.5 million have a final diagnosis of UA, and myocardial infarction (ST-segment and non-ST-segment elevation) accounts for the remaining 1 million. The management of UA/NSTEMI presents a challenge to the cardiologist because treatment strategies continue to evolve. A number of trials have now assessed the safety and efficacy of early revascularization strategies in the treatment of patients with UA/NSTEMI, whereas others have focused on pharmacologic adjunctive therapy. An optimal single strategy encompassing most patients' needs is not clear. This review focuses on the revised American College of Cardiology/American Heart Association guidelines for the management of patients presenting with UA/NSTEMI.
Authors:
Debabrata Mukherjee; Kim A Eagle
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Current cardiology reports     Volume:  5     ISSN:  1523-3782     ISO Abbreviation:  Curr Cardiol Rep     Publication Date:  2003 Jul 
Date Detail:
Created Date:  2003-06-12     Completed Date:  2003-12-05     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  100888969     Medline TA:  Curr Cardiol Rep     Country:  United States    
Other Details:
Languages:  eng     Pagination:  289-95     Citation Subset:  IM    
Affiliation:
Division of Cardiology, University of Michigan Health System, 3910 Taubman Center, 1500 East Medical Center Drive, Ann Arbor, MI 48103, USA. keagle@umich.edu
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MeSH Terms
Descriptor/Qualifier:
Acute Disease
American Heart Association
Angina, Unstable / diagnosis,  physiopathology*,  therapy*
Cardiology / standards*
Electrocardiography*
Humans
Myocardial Infarction / diagnosis,  physiopathology*,  therapy*
Physician's Practice Patterns / standards*
Practice Guidelines as Topic / standards*
Societies, Medical / standards
Syndrome
United States

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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