Unstable angina / non ST elevation myocardial infarction post CABG patients
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Overview of post CABG Patients with UA / NSTEMI
ACC / AHA Guidelines (DO NOT EDIT) [1]
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Class I1. Medical treatment for UA / NSTEMI patients after CABG should follow the same guidelines as for non–post CABG patients with UA / NSTEMI. (Level of Evidence: C) 2. Because of the many anatomic possibilities that might be responsible for recurrent ischemia, there should be a low threshold for angiography in post CABG patients with UA / NSTEMI. (Level of Evidence: C) Class IIa1. Repeat CABG is reasonable for UA / NSTEMI patients with multiple SVG stenoses, especially when there is significant stenosis of a graft that supplies the LAD. PCI is reasonable for focal saphenous vein graft stenosis. (Level of Evidence: C) (Note that an intervention on a native vessel is generally preferable to that on a vein graft that supplies the same territory, if possible.) 2. Stress testing with imaging in UA / NSTEMI post CABG patients is reasonable. (Level of Evidence: C) | ” |
See Also
Sources
- The ACC/AHA 2007 Guidelines for the Management of Patients With Unstable Angina/Non-ST-Elevation Myocardial Infarction [1]
References
- ↑ 1.0 1.1 Anderson JL, Adams CD, Antman EM, et al (August 2007). "ACC/AHA 2007 guidelines for the management of patients with unstable angina/non-ST-Elevation myocardial infarction: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Revise the 2002 Guidelines for the Management of Patients With Unstable Angina/Non-ST-Elevation Myocardial Infarction) developed in collaboration with the American College of Emergency Physicians, the Society for Cardiovascular Angiography and Interventions, and the Society of Thoracic Surgeons endorsed by the American Association of Cardiovascular and Pulmonary Rehabilitation and the Society for Academic Emergency Medicine". JACC 50 (7): e1–e157. PMID 17692738.
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