This useful publication offers a finished review of the epidemiology and medical presentation of acute coronary syndromes (ACS). It additionally courses the reader via possibility review, chance stratification, analysis, and therapy of ACS.
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A meta-analysis also documented that the addition of clopidogrel to aspirin produces a small, yet significant survival advantage that is mainly restricted to the highest risk patients . Clopidogrel recommendation Clopidogrel should be used instead of aspirin in patients with ACS who have a significant allergy to aspirin [4,5]. For other patients, clopidogrel should be used in addition to aspirin early during the hospitalization [4,5]. This is especially true among patients with ACS , including patients with ST-elevation myocardial infarction .
JAMA 2005; 293:2935–2937. 9. Bhatt DL, Roe MT, Peterson ED, et al. Utilization of early invasive management strategies for high-risk patients with non-ST-segment elevation acute coronary syndromes: results from the CRUSADE Quality Improvement Initiative. JAMA 2004; 292:2096–2104. 10. , Dabbous OH, et al. Intervention in acute coronary syndromes: do patients undergo intervention on the basis of their risk characteristics? The Global Registry of Acute Coronary Events (GRACE). Heart 2007; 93:177–182.
J Am Coll Cardiol 1999; 33:1843–1847. 4. Milner KA, Vaccarino V, Arnold AL, et al. Gender and age differences in chief complaints of acute myocardial infarction (Worcester Heart Attack Study). Am J Cardiol 2004; 93:606–608. 5. Bugiardini R, Bairey Merz CN. Angina with "normal" coronary arteries: a changing philosophy. JAMA 2005; 293:477–484. 6. Braunwald E. Unstable angina. A classification. Circulation 1989; 80:410–414. 7. Lee TH, Cook EF, Weisberg M, et al. Acute chest pain in the emergency room.
Acute Coronary Syndromes in Clinical Practice