Updating the Chest Pain Algorithm
| Autor: | Gregg W. Stone, LeRoy E. Rabbani, Neil Goyal, Jennifer Stant, Jeffery W. Moses, James Giglio, Gerald Neuberg, Francesca Esposito, Gina Piri, Leslie Miller, Michael Collins, Osman Sayan |
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| Rok vydání: | 2008 |
| Předmět: |
Male
Chest Pain medicine.medical_treatment Myocardial Infarction Chest pain Risk Assessment Myocardial Revascularization medicine Humans Thrombolytic Therapy Angina Unstable cardiovascular diseases Myocardial infarction Acute Coronary Syndrome Randomized Controlled Trials as Topic Evidence-Based Medicine business.industry Percutaneous coronary intervention Prognosis medicine.disease Combined Modality Therapy Survival Analysis United States Treatment Outcome Conventional PCI Critical Pathways Female medicine.symptom Cardiology and Cardiovascular Medicine business Algorithm Algorithms Forecasting |
| Zdroj: | Critical Pathways in Cardiology: A Journal of Evidence-Based Medicine. 7:211-222 |
| ISSN: | 1535-282X |
| Popis: | In 2003, we published our chest pain protocol for the management of acute coronary syndromes (ACSs) and acute myocardial infarction. Our algorithm was specifically designed for our institution, which was primary percutaneous coronary intervention (PCI) for all ST-elevation myocardial infarctions (STEMIs) and a preferred invasive approach for non-STEMIs. Since 2003, there have been numerous changes in the adjunctive pharmacotherapeutic armamentarium for PCI in both the STEMI and non-STEMI ACS context. We present our updated chest pain algorithm with a brief review of the rapidly evolving changes in adjunctive pharmacotherapy for PCI and provide a rationale for the changes that we have made to our institutional protocol. Clinical pathways need to be consistently updated and revises by incorporating new evidence from clinical trials in order to maintain clinical relevance. |
| Databáze: | OpenAIRE |
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