Unstable angina / non ST elevation myocardial infarction non steroidal anti-inflammatory drug use: Difference between revisions

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#redirect:[[Unstable angina / non ST elevation myocardial infarction long-term medical therapy and secondary prevention]]
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==Overview of Non Steroidal Anti-Inflammatory Drug Use in UA / NSTEMI==
 
==ACC / AHA Guidelines (DO NOT EDIT) <ref name="pmid17692738">{{cite journal |author=Anderson JL, Adams CD, Antman EM, ''et al'' |title=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 |journal=JACC |volume=50 |issue=7 |pages=e1–e157 |year=2007 |month=August |pmid=17692738 |doi:10.1016/j.jacc.2007.02.013 |url=}}</ref>==
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===Class I===
 
1. At the time of preparation for hospital discharge, the patient’s need for treatment of chronic musculoskeletal discomfort should be assessed, and a stepped-care approach to treatment should be used for selection of treatments. Pain relief should begin with [[acetaminophen]], small doses of [[narcotics]], or [[non acetylated salicylate]]s. (Level of Evidence: C)
 
===Class IIa===
 
1. It is reasonable to use nonselective [[NSAID]]s, such as [[naproxen]], if initial therapy with [[acetaminophen]], small doses of [[narcotics]], or [[non acetylated salicylate]]s is insufficient. (Level of Evidence: C)
 
===Class IIb===
 
1. [[Non steroidal anti inflammatory drug]]s with increasing degrees of relative [[COX-2]] selectivity may be considered for pain relief only for situations in which intolerable discomfort persists despite attempts at stepped-care therapy with [[acetaminophen]], small doses of [[narcotics]], [[non acetylated salicylate]]s, or non selective [[NSAID]]s. In all cases, the lowest effective doses should be used for the shortest possible time. (Level of Evidence: C)
 
===Class III===
 
1. [[Non steroidal anti inflammatory drug]]s with increasing degrees of relative [[COX-2]] selectivity should not be administered to [[UA]] / [[NSTEMI]] patients with chronic musculoskeletal discomfort when therapy with [[acetaminophen]], small doses of [[narcotics]], [[non acetylated salicylate]]s, or non selective [[NSAID]]s provides acceptable levels of pain relief. (Level of Evidence: C)}}
 
==Sources==
*The ACC/AHA 2007 Guidelines for the Management of Patients With Unstable Angina/Non-ST-Elevation Myocardial Infarction <ref name="pmid17692738">{{cite journal |author=Anderson JL, Adams CD, Antman EM, ''et al'' |title=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 |journal=JACC |volume=50 |issue=7 |pages=e1–e157 |year=2007 |month=August |pmid=17692738 |doi:10.1016/j.jacc.2007.02.013 |url=}}</ref>
 
==References==
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