Evidence based decision making between PCI and CABG

Collet, Carlos

doi:10.5935/abc.20190076

Cited by 1 publication

(1 citation statement)

References 16 publications

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“…Furthermore, it implies better targeting therapies for patients at higher risk for adverse cardiovascular events and also defines the best treatment strategy to avoid unnecessary interventions and adverse effects that harm low-risk patients. 31 Prognostic information is obtained through careful clinical evaluation and the evolution of patients during the first days and the patient's response to anti-ischemic and antithrombotic treatment when they are admitted to the hospital. There are several risk stratification scores that can predict death or AMI in ACS.…”

Section: Risk Stratification For a Better Approach To Acute Coronary Syndromesmentioning

confidence: 99%

Diagnostic and Therapeutic Resources for Risk Stratification of Patients With Acute Coronary Syndrome

2021

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Acute coronary syndrome (ACS) results from acute obstruction of a coronary artery which is responsible for a high mortality rate worldwide. The consequences depend on the degree and location of the obstruction and vary from unstable angina to non-ST segment elevation myocardial infarction (NSTEMI), ST-segment elevation myocardial infarction, and sudden cardiac death. The symptoms are similar in each of these syndromes (except for sudden death), involving chest discomfort with or without dyspnea, nausea, and diaphoresis. The diagnosis is possible; thanks to the electrocardiogram that is essential and the existence or absence of serological markers. In addition to these initial resources, other diagnostic methods are noteworthy, such as stress electrocardiogram, echocardiography, nuclear cardiology, computed tomography angiography, and exercise test. Other necessary measures are the stratification of the identified cases according to the degree of risk, availability of a coronary intensive care unit, and the establishment of the opportune treatment that consists of oxygen therapy, analgesia, sedation, antiplatelet, anticoagulants, nitrates, beta-blockers drugs, reperfusion of emergency with fibrinolytic drugs, percutaneous intervention or, occasionally, myocardial revascularization surgery to provide the recovery and consequently a better quality of life for the patient. This brief review aims to discuss the available diagnostic and therapeutic resources and the appropriate risk stratification for adequate care for the victims of acute coronary heart disease promptly in a hospital setting.

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Section: Risk Stratification For a Better Approach To Acute Coronary Syndromesmentioning

confidence: 99%