ACC/AHA guidelines for the management of patients with unstable angina and non-ST-segment elevation myocardial infarction: Executive summary and recommendations: A report of the American College of Cardiology/American Heart Association task force on practice guidelines (committee on the management of patients with unstable angina)
Eugene Braunwald,Elliott M. Antman,John W. Beasley,Robert M. Califf,Melvin D. Cheitlin,Judith S. Hochman,Robert H. Jones,Dean J. Kereiakes,Joel Kupersmith,Thomas N. Levin,Carl J. Pepine,John W. Schaeffer,Earl E. Smith,David E Steward,Pierre Theroux,Raymond J. Gibbons,Joseph S. Alpert,David P. Faxon,Valentin Fuster,Gabriel Gregoratos,Loren F. Hiratzka,Alice K. Jacobs,Sidney C. Smith +22 more
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The present guidelines supersede the 1994 guidelines and summarize both the evidence and expert opinion and provide final recommendations for both patient evaluation and therapy.Abstract:
The American College of Cardiology (ACC)/American Heart Association (AHA) Task Force on Practice Guidelines was formed to make recommendations regarding the diagnosis and treatment of patients with known or suspected cardiovascular disease. Coronary artery disease (CAD) is the leading cause of death in the United States. Unstable angina (UA) and the closely related condition non–ST-segment elevation myocardial infarction (NSTEMI) are very common manifestations of this disease. These life-threatening disorders are a major cause of emergency medical care and hospitalizations in the United States. In 1996, the National Center for Health Statistics reported 1 433 000 hospitalizations for UA or NSTEMI. In recognition of the importance of the management of this common entity and of the rapid advances in the management of this condition, the need to revise guidelines published by the Agency for Health Care Policy and Research (AHCPR) and the National Heart, Lung and Blood Institute in 1994 was evident. This Task Force therefore formed the current committee to develop guidelines for the management of UA and NSTEMI. The present guidelines supersede the 1994 guidelines.
The customary ACC/AHA classifications I, II, and III summarize both the evidence and expert opinion and provide final recommendations for both patient evaluation and therapy:
Class I: Conditions for which there is evidence and/or general agreement that a given procedure or treatment is useful and effective .
Class II: Conditions for which there is conflicting evidence and/or a divergence of opinion about the usefulness/efficacy of a procedure or treatment.
Class IIa: Weight of evidence/opinion is in favor of usefulness/efficacy.
Class IIb: Usefulness/efficacy is less well established by evidence/opinion.
Class III: Conditions for which there is evidence and/or general agreement that the procedure/treatment is not useful/effective and in some cases may be harmful.
The weight of the evidence was ranked highest (A) if the data …read more
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The obesity paradox in non–ST-segment elevation acute coronary syndromes: Results from the Can Rapid risk stratification of Unstable angina patients Suppress ADverse outcomes with Early implementation of the American College of Cardiology/American Heart Association Guidelines Quality Improvement Initiative
Deborah B. Diercks,Matthew T. Roe,Jyotsna Mulgund,Charles V. Pollack,J. Douglas Kirk,W. Brian Gibler,E. Magnus Ohman,Sidney C. Smith,William E. Boden,Eric D. Peterson +9 more
TL;DR: Obesity appears to be a risk factor for developing ACS at a younger age and is associated with more aggressive ACS management and, ultimately, improved outcomes.
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Long-term Medication Adherence after Myocardial Infarction: Experience of a Community
Nilay Shah,Shannon M. Dunlay,Henry H. Ting,Victor M. Montori,Randal J. Thomas,Amy E. Wagie,Véronique L. Roger +6 more
TL;DR: Enrollment in a cardiac rehabilitation program was associated with an improved likelihood of continuing medications, with adjusted hazard ratio for discontinuation of statins and beta-blockers among cardiac rehabilitation participants of 0.66 and 0.70, respectively.
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Lipid-rich plaque and myocardial perfusion after successful stenting in patients with non-ST-segment elevation acute coronary syndrome: an optical coherence tomography study
Atsushi Tanaka,Toshio Imanishi,Hironori Kitabata,Takashi Kubo,Shigeho Takarada,Takashi Tanimoto,Akio Kuroi,Hiroto Tsujioka,Hideyuki Ikejima,Kenichi Komukai,Hideaki Kataiwa,Keishi Okouchi,Manabu Kashiwaghi,Kohei Ishibashi,Hiroki Matsumoto,Kazushi Takemoto,Nobuo Nakamura,Kumiko Hirata,Masato Mizukoshi,Takashi Akasaka +19 more
TL;DR: It is found that OCT is useful tool for stratifying risk for PCI for NSTEACS and can predict no-reflow after percutaneous coronary intervention (PCI) in N STEACS.
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Prognostic Value of Lead aVR in Patients With a First Non–ST-Segment Elevation Acute Myocardial Infarction
TL;DR: Lead aVR contains important short-term prognostic information in patients with a first non–ST-segment elevation acute myocardial infarction because the poorer outcome predicted by ST-se segment elevation in lead aVR seems to be related to a more severe coronary artery disease.
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Textbook of Cardiovascular Medicine
TL;DR: That's it, a book to wait for in this month; even you have wanted for long time for releasing this book textbook of cardiovascular medicine; you may not be able to get in some stress, but now, the authors are coming to give you excellent solution.
References
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