Unstable angina / non ST elevation myocardial infarction treatment: Difference between revisions

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Acute Coronary Syndrome Main Page

Unstable angina / NSTEMI Microchapters

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Patient Information

Overview

Classification

Pathophysiology

Unstable Angina
Non-ST Elevation Myocardial Infarction

Differentiating Unstable Angina/Non-ST Elevation Myocardial Infarction from other Disorders

Epidemiology and Demographics

Risk Stratification

Natural History, Complications and Prognosis

Special Groups

Women
Heart Failure and Cardiogenic Shock
Perioperative NSTE-ACS Related to Noncardiac Surgery
Stress (Takotsubo) Cardiomyopathy
Diabetes Mellitus
Post CABG Patients
Older Adults
Chronic Kidney Disease
Angiographically Normal Coronary Arteries
Variant (Prinzmetal's) Angina
Substance Abuse
Cardiovascular "Syndrome X"

Diagnosis

History and Symptoms

Physical Examination

Laboratory Findings

Blood Studies
Biomarkers

Electrocardiogram

Chest X Ray

Echocardiography

Coronary Angiography

Treatment

Primary Prevention

Immediate Management

Anti-Ischemic and Analgesic Therapy

Cholesterol Management

Antitplatelet Therapy

Antiplatelet therapy recommendations
Aspirin
Thienopyridines
Glycoprotein IIb/IIIa Inhibitor

Anticoagulant Therapy

Additional Management Considerations for Antiplatelet and Anticoagulant Therapy

Risk Stratification Before Discharge for Patients With an Ischemia-Guided Strategy of NSTE-ACS

Mechanical Reperfusion

Initial Conservative Versus Initial Invasive Strategies
PCI
CABG

Complications of Bleeding and Transfusion

Discharge Care

Medical Regimen
Post-Discharge Follow-Up
Cardiac Rehabilitation

Long-Term Medical Therapy and Secondary Prevention

ICD implantation within 40 days of myocardial infarction

ICD within 90 days of revascularization

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Unstable angina / non ST elevation myocardial infarction treatment On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Unstable angina / non ST elevation myocardial infarction treatment

CDC onUnstable angina / non ST elevation myocardial infarction treatment

Unstable angina / non ST elevation myocardial infarction treatment in the news

Blogs on Unstable angina / non ST elevation myocardial infarction treatment

to Hospitals Treating Unstable angina / non ST elevation myocardial infarction treatment

Risk calculators and risk factors for Unstable angina / non ST elevation myocardial infarction treatment

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor-In-Chief: Cafer Zorkun, M.D., Ph.D. [2]

Overview

Any recommendations found on these pages are for education use only. Wikidoc is not a substitute for a licensed healthcare provider. Please see the disclaimers page for important information regarding limitations of the information found here. In suggesting edits to the guidelines, Wikidoc suggests that the following classification scheme be used. Read more about the classification scheme used by the ACC / AHA Guidelines Committee here.

Recommendations for Immediate Management [1] [2]

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Recommendations for Anti Ischemic Therapy [1] [2]

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Recommendations for Antiplatelet Therapy [1] [2]

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Recommendations for Anticoagulant Therapy [1] [2]

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Recommendations for Additional Management Considerations for Antiplatelet and Anticoagulant Therapy [1] [2]

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Recommendations for PCI [1] [2]

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Recommendations for CABG [1] [2]

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Initial Conservative versus Initial Invasive Strategies [1] [2]

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Risk Stratification Before Discharge [1] [2]

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Recommendations for Medical Regimen and Use of Medications [1] [2]

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Recommendations for Beta Blockers Therapy [1] [2]

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Recommendations for Inhibition of the Renin-Angiotensin-Aldosterone System [1] [2]

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Recommendations for Nitroglycerin Therapy [1] [2]

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Recommendations for Calcium Channel Blockers Therapy [1] [2]

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Recommendations for Warfarin Therapy [1] [2]

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Recommendations for Lipid Management [1] [2]

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Recommendations for Smoking Cessation [1] [2]

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Recommendations for Influenza Vaccination [1] [2]

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Recommendations for Non steroidal Anti-Inflammatory Drugs Use [1] [2]

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Recommendations for Hormone Therapy [1] [2]

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Recommendations for Antioxidant Vitamins and Folic Acid Use [1] [2]

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Recommendations for Post discharge Follow-Up [1] [2]

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Recommendations for Cardiac Rehabilitation [1] [2]

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Recommendations for UA/NSTEMI in Women

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Recommendations for UA/NSTEMI in Diabetic Patients [1] [2]

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Recommendations for UA/NSTEMI in Post CABG Patients [1] [2]

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Recommendations for UA/NSTEMI in Elderly [1] [2]

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Recommendations for UA/NSTEMI in Chronic Kidney Disease [1] [2]

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Recommendations for UA/NSTEMI in Drug and Substance Abusers [1] [2]

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Recommendations for Prinzmetal’s Angina [1] [2]

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Recommendations for patients with Cardiovascular Syndrome X [1] [2]

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See Also

References

  1. 1.00 1.01 1.02 1.03 1.04 1.05 1.06 1.07 1.08 1.09 1.10 1.11 1.12 1.13 1.14 1.15 1.16 1.17 1.18 1.19 1.20 1.21 1.22 1.23 1.24 1.25 1.26 1.27 1.28 1.29 1.30 1.31 1.32 1.33 1.34 1.35 Anderson JL, Adams CD, Antman EM, Bridges CR, Califf RM, Casey DE Jr, Chavey WE II, Fesmire FM, Hochman JS, Levin TN, Lincoff AM, Peterson ED, Theroux P, Wenger NK, Wright RS. 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). Circulation 2007 116: e148 – e304. PMID 17679616
  2. 2.00 2.01 2.02 2.03 2.04 2.05 2.06 2.07 2.08 2.09 2.10 2.11 2.12 2.13 2.14 2.15 2.16 2.17 2.18 2.19 2.20 2.21 2.22 2.23 2.24 2.25 2.26 2.27 2.28 2.29 2.30 2.31 2.32 2.33 2.34 2.35 Anderson JL, Adams CD, Antman EM, Bridges CR, Califf RM, Casey DE Jr, Chavey WE II, Fesmire FM, Hochman JS, Levin TN, Lincoff AM, Peterson ED, Theroux P, Wenger NK, Wright RS. Correction of 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). J Am Coll Cardiol. 2008 Mar 4; 51(9): 974. PMID 17692738


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