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Management of Patients With NSTE-ACS: A Comparison of the Recent AHA/ACC and ESC Guidelines.

Abstract：

:Non-ST-segment elevation acute coronary syndromes (NSTE-ACS) are the leading cause of morbidity and mortality from cardiovascular disease worldwide. The American Heart Association/American College of Cardiology and the European Society of Cardiology periodically release practice guidelines to guide clinicians in the management of NSTE-ACS, most recently in in 2014 and 2015, respectively. The present review compares and contrasts the 2 guidelines, with a focus on the strength of recommendation and level of evidence in the approach to initial presentation and diagnosis of NSTE-ACS, risk assessment, treatments, and systems of care. Important differences include the use of a rapid rule-out protocol with high-sensitivity troponin assays, a preference for prasugrel/ticagrelor and fondaparinux for anticoagulation therapy, and a preference for radial arterial access in the European Society of Cardiology guidelines compared with the American Heart Association/American College of Cardiology guidelines. We also highlight the similarities and differences in the guidelines for special patient populations and suggest areas of further study.

journal_name

J Am Coll Cardiol

journal_title

Journal of the American College of Cardiology

authors

Rodriguez F,Mahaffey KW

doi

10.1016/j.jacc.2016.03.599

subject

Has Abstract

pub_date

2016-07-19 00:00:00

pages

313-321

issue

3

eissn

0735-1097

issn

1558-3597

pii

S0735-1097(16)33129-1

journal_volume

68

pub_type

杂志文章,评审

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