Updating an Institutional Chest Pain Algorithm
| Autor: | Jennifer Stant, Gregg F. Rosner, Michael Collins, Jeffrey W. Moses, Amelia Tirado, Gregg W. Stone, Martin B. Leon, LeRoy E. Rabbani, James Giglio, Jennifer Burr |
|---|---|
| Rok vydání: | 2012 |
| Předmět: |
Chest Pain
Acute coronary syndrome medicine.medical_treatment Myocardial Infarction Columbia university Chest pain Evidence-Based Emergency Medicine Electrocardiography Percutaneous Coronary Intervention Pharmacotherapy medicine Humans Myocardial infarction Acute Coronary Syndrome business.industry Anticoagulants Percutaneous coronary intervention medicine.disease Clinical trial Critical Pathways medicine.symptom Cardiology and Cardiovascular Medicine business Algorithm Ticagrelor Algorithms Platelet Aggregation Inhibitors medicine.drug |
| Zdroj: | Critical Pathways in Cardiology: A Journal of Evidence-Based Medicine. 11:107-113 |
| ISSN: | 1535-282X |
| DOI: | 10.1097/hpc.0b013e31825f8da0 |
| Popis: | Clinical treatment pathways are useful to ensure that evidence-based medicine is consistently applied in hospital systems and have been shown to improve patient outcomes. Such pathways need to be regularly updated and revised by incorporating new evidence from clinical trials to ensure optimal clinical care. In 2011, we published the Columbia University Medical Center/New York Presbyterian Hospital - Clinical Pathways for Acute Coronary Syndromes and Chest Pain. This algorithm includes primary percutaneous coronary intervention for all patients with ST-segment elevation myocardial infarction and an early invasive approach for patients with non-ST-segment elevation myocardial infarction. Since our last chest pain algorithm update, the novel antiplatelet agent ticagrelor has been introduced in the United States, resulting in an important revision of our acute coronary syndrome clinical pathways. Herein, we present our updated chest pain algorithm and provide rationale for the changes that we have made to our protocol. |
| Databáze: | OpenAIRE |
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