Akutes Koronarsyndrom
Autor: | Axel Schlitt, U Nixdorff, G Horstick |
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Rok vydání: | 2019 |
Předmět: |
medicine.medical_specialty
Acute coronary syndrome Statin business.industry Life style medicine.drug_class Atrial fibrillation Context (language use) 030204 cardiovascular system & hematology medicine.disease 03 medical and health sciences 0302 clinical medicine Thrombocyte aggregation Internal medicine medicine Cardiology 030212 general & internal medicine Myocardial infarction Risk factor Cardiology and Cardiovascular Medicine business |
Zdroj: | Herz. 44:45-52 |
ISSN: | 1615-6692 0340-9937 |
DOI: | 10.1007/s00059-019-4782-y |
Popis: | For life style modifications primary and secondary prevention of acute coronary syndrome (ACS) are approximately similar, even though in the postinfarction situation functional diagnostic programs have to be performed in a rehabilitative manner. All three life style pillars of fitness, nutrition and relaxation implicate prognostic significance and the efficacy is higher for secondary prevention than for primary. The pharmacotherapeutic indications for thrombocyte aggregation inhibition are connected to the presence of atherosclerosis and statin medication is already connected to cardiovascular risk factor stratification, for which scores are used. Depending on the postinfarction myocardial destruction after ACS, additional pharmacotherapies, such as angiotensin-converting enzyme (ACE) inhibitors, angiotensin-II receptor antagonists, beta blockers and also mineral corticoid receptor antagonists are evident. New potential for prevention is ascribed to the new oral anticoagulants (NOAC) in the context of coincidental atrial fibrillation. |
Databáze: | OpenAIRE |
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