Issues in cardiac intervention for UA/NSTEMI

Issues in cardiac intervention for UA/NSTEMI

The ACC/AHA and the ESC have recently developed new treatment guidelines for the management of unstable angina and non-ST-segment elevation myocardial infarction, and both documents make recommendations with regard to interventional management. At the 4th Annual Experts' Meeting of the Internat...

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Bibliographic Details
Published in:European heart journal supplements Vol. 3; no. suppl-J; pp. J32 - J39
Main Authors: Hod, H.H., Kleiman, N.S., Sequeira, R.F., Voipio-Pulkki, L.-M.
Format: Journal Article
Language:English
Published: Oxford Oxford University Press 01-08-2001
Subjects:
angioplasty
Biological and medical sciences
Cardiology. Vascular system
coronary artery bypass graft
Coronary heart disease
guidelines
Heart
Medical sciences
percutaneous coronary intervention
Unstable angina
Human
Prognosis
Infarct
Acute
Coronary artery
Instrumentation therapy
Cardiovascular disease
Instrumental dilatation
Coronary heart disease
Myocardial disease
Treatment
Aortocoronary
Bypass
Surgery
Myocardium
Variant angina
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Summary:The ACC/AHA and the ESC have recently developed new treatment guidelines for the management of unstable angina and non-ST-segment elevation myocardial infarction, and both documents make recommendations with regard to interventional management. At the 4th Annual Experts' Meeting of the International Cardiology Forum, workshops were held to discuss the evidence supporting these recommendations, the applicability of the guidelines to clinical practice in different countries and institutional settings, and areas where more research is required. Although both sets of guidelines were generally well received, workshop participants disagreed on a number of issues. Opinion was divided as to the specific risk-factors that should mandate early catheterization, and the optimal timing of intervention following the initial presentation. Further clinical trials addressing these questions are needed. However, in many parts of the world, interventional strategies are influenced by external constraints, including shortage of facilities or limitations on length of hospital stay, which may limit the applicability of clinical evidence.
Bibliography:local:01901385.J32
PII:S1520765X01901385
istex:4D3EF63DAFC657C40B27DD6E3F2FA1962BAF0F9F
Correspondence: Hanoch H. Hod, Sheba Medical Center, Tel-Hashomer, Israel.
ark:/67375/HXZ-6P82QSX9-2
ISSN:1520-765X
1554-2815
DOI:10.1016/S1520-765X(01)90138-5