Open AccessAcute Coronary Syndromes: Selective vs Early Invasive Strategies
Author(s) -
Boden William E.,
Gupta Vipul
Publication year - 2009
Publication title -
clinical cardiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.263
H-Index - 72
eISSN - 1932-8737
pISSN - 0160-9289
DOI - 10.1002/clc.20671
Subject(s) - medicine , pharmacotherapy , intensive care medicine , myocardial infarction , critical pathways , medline , acute coronary syndrome , cardiology , emergency medicine , process management , political science , law , business
Recommendations in the 2007 update of the American College of Cardiology/American Heart Association guidelines for patients with non–ST‐elevation myocardial infarction (NSTEMI) provide considerable latitude regarding treatment choices and care pathways. Nevertheless, as accumulating evidence leads to increased recommendations for early invasive strategies, more patients are likely to receive care that falls short of recommendations. While tailoring pharmacotherapy to optimize the risk/benefit ratio for individual patients remains essential, it becomes increasingly important that care paradigms be prospectively defined. To facilitate this goal, we examined key differences between the 2002 and 2007 guidelines and explored data underlying changed recommendations for periprocedural pharmacotherapy. Copyright © 2009 Wiley Periodicals, Inc.