Acute coronary syndrome
270 results
31 - 130Acute coronary syndrome
Clinical decision helpful in diagnosis of acute coronary syndrome in primary care
Hyperbaric oxygen therapy for acute coronary syndrome
Statins for acute coronary syndrome
Presence of risk factors doesn't predict acute coronary syndrome
Drug‐eluting stents versus bare‐metal stents for acute coronary syndrome
Escitalopram reduces risk of adverse cardiac events in adults with depression and acute coronary syndrome
Early CT angiography for suspected acute coronary syndrome reduces further ischemic testing; no effect on long-term clinical outcomes
PSK9 inhibitor alirocumab reduces nonfatal MI in patients after acute coronary syndrome, but at high cost (ODYSSEY OUTCOMES)
For treatment of acute coronary syndrome, prasugrel is better than ticagrelor at preventing recurrent MIs at 1 year
Chronic coronary syndrome (coronary heart disease)
Dabigatran associated with increased risk of coronary events
Patients with non-ST-elevation acute coronary syndromes do not need immediate intervention
Low molecular weight heparins versus unfractionated heparin for acute coronary syndromes: Cochrane systematic review
Additional testing of limited benefit in patients with new-onset chest pain
Coronary CT angiogram allows for safe discharge of low-risk patients with chest pain
FDA: Clopidogrel/aspirin does not decrease overall mortality
Faster discharge but more downstream testing with use of CCTA in ED
HET score: atypical chest pain + normal ECG + normal troponin = no acute coronary event
Genotype-guided selection of oral P2Y12 inhibitor therapy no better than standard therapy after PCI for ACS or stable CAD
For atrial fibrillation with ACS or PCI, apixaban plus clopidogrel (without aspirin) is preferred (AUGUSTUS)
Ruling out acute myocardial infarction based on patient characteristics
Intensive lipid lowering reduces mortality following ACS
Bivalirudin = abciximab + heparin for non-STEMI
Pain severity does not predict outcomes with AMI
Intensive lipid lowering adds additional benefit
Signs and symptoms not helpful in diagnosis of AMI/ACS
Improved outcomes with early invasive strategy for ACS? Maybe, maybe not.
Low-dose rivaroxaban improves outcomes in patients with ACS (ATLAS)
ED chest pain protocol is safe and efficient
No reduction in postdischarge medication errors after pharmacist-led intervention
Routine stress testing after negative biomarker testing seldom helpful
Two-hour protocol identifies patients at low risk of ACS
Better medication adherence with intervention; clinical outcomes unchanged
Flu vaccine reduces risk of adverse CV events in high-risk patients
Dyspepsia
Early invasive therapy better for non-ST ACS
Concomitant use of clopidogrel and a PPI may increase risk of adverse CHD outcomes
Apixaban increases bleeding with no benefit in high-risk patients with ACS
ACC/AHA guidelines on dual antiplatelet therapy
CCTA reduces need for hospitalization in low to moderate risk patients in ED
Fondaparinux for acute coronary syndromes
In low-risk patients with ACS, noninvasive testing adds little to clinical evaluation
Antithrombotic agents in primary health care
In ACS, 5 yrs of invasive tx decreases MI but not all cause mortality (FRISC-II)
Platelet-function testing doesn't improve outcomes in elderly patients with stents after ACS
ACS risk similar with normal ECG performed during presence or absence of chest pain
Adding ezetimibe to moderate-dose statin reduces nonfatal MI only (NNT = 58 for 6 years)
Evacetrapib increases HDL but does nothing for patient-oriented outcomes
Interpretation of adult ECG
Mortality rate in patients with recent ACS and endoscopy is similar to that in patients with ACS and no endoscopy