National Heart Foundation of Australia &amp; Cardiac Society of Australia and New Zealand: Australian Clinical Guidelines for the Management of Acute Coronary Syndromes 2016

Chew, Derek P.; Scott, Ian A; Cullen, Louise; French, John K.; Briffa, Tom; Tideman, Philip; Woodruffe, Stephen; Kerr, Alistair; Branagan, Maree; Aylward, Philip E.

doi:10.1016/j.hlc.2016.06.789

Cited by 266 publications

(289 citation statements)

References 210 publications

Supporting

Mentioning

285

Contrasting

Order By: Relevance

“…Within improved protocols for chest pain assessment and diagnosis, early coronary angiography for high-risk chest pain is increasingly emphasised [97]. Rates of emergent coronary angiography in reported cases of P-SCAD have significantly increased across the documented time periods.…”

Section: Discussionmentioning

confidence: 99%

Evolving management and improving outcomes of pregnancy-associated spontaneous coronary artery dissection (P-SCAD): a systematic review

Paratz

Kao

MacIsaac

et al. 2018

IJC Heart & Vasculature

View full text Add to dashboard Cite

BackgroundPregnancy-associated spontaneous coronary artery dissection (P-SCAD) is defined as SCAD occurring during pregnancy or within 3 months post-partum. Earlier systematic reviews have suggested a high maternal and foetal mortality rate. We undertook a structured systematic review of P-SCAD demographics, management and maternal and foetal outcomes.MethodsCase study identification was conducted according to PRISMA guidelines, with screening of all published P-SCAD cases not meeting pre-defined exclusion criteria. Of two hundred and seventy-three publications screened, one hundred and thirty-eight cases met inclusion criteria. Cases were allocated to one of three time periods; 1960–85 (twenty cases) reflecting early management of P-SCAD, 1986–2005 (forty-two cases) reflecting recent management, and 2006–16 (seventy-six cases), reflecting contemporary management.ResultsThe only significant demographic change in women experiencing P-SCAD over the last 50 years was an increasing proportion of primigravidas (p = 0.02). Management and outcomes, however, have altered significantly. Emergent angiography (p < 0.0001), reduced thrombolysis (p = 0.006) and increasingly conservative or percutaneous management (p < 0.0001) are associated with dramatic reductions in maternal mortality (85% in earliest reports to 4% in the last decade, p < 0.0001) and foetal mortality (50% in earliest reports to 0.0% in the last decade, p = 0.023).ConclusionThis systematic review of temporal changes in presentation, management and outcomes of P-SCAD represents the widest range of variables analysed in the largest cohort of P-SCAD patients to date. In the setting of earlier coronary angiography and increasingly conservative management, maternal and foetal survival rates continue to improve.

show abstract

Section: Discussionmentioning

confidence: 99%

Evolving management and improving outcomes of pregnancy-associated spontaneous coronary artery dissection (P-SCAD): a systematic review

Paratz

Kao

MacIsaac

et al. 2018

IJC Heart & Vasculature

View full text Add to dashboard Cite

show abstract

“…Nearly all of the patients with an initial HsTnI <5 ng/L and a discharge diagnosis of AMI were calculated to be 'high risk' for ACS based on the NHFA/CSANZ 2016 guidelines for risk stratification. 16 Based on existing national recommendations all patients who meet the NHFA/CSANZ high risk classification criteria should be referred for inpatient cardiology investigation and therefore would not have been appropriate candidates for discharge directly home from the ED. 6 The discharge summary diagnosis for the three patients with AMI that were intermediate risk were sepsis, hypertension and atrial fibrillation.…”

Section: Discussionmentioning

confidence: 99%

Rapid and safe discharge from the emergency department: A single troponin to exclude acute myocardial infarction

Brichko

Schneider

Chan

et al. 2018

Emerg Medicine Australasia

View full text Add to dashboard Cite

show abstract

“…Table 1 summarizes the characteristics of the included guidelines, with COI and the average AGREE II scores. Five guidelines were from European continent, 1,12-15 two from the United Kingdom, 16,17 six from the United States, [18][19][20][21][22][23] one from Canada, 24 one from Australia and New Zealand, 25 two from Japan, 26,27 and one from Taiwan. 28…”

Section: Selected Guidelinesmentioning

confidence: 99%

Critical appraisal of guidelines for coronary artery disease on dual antiplatelet therapy: More consensus than controversies

Zhang

Zhou

Zhuang

et al. 2019

Clinical Cardiology

View full text Add to dashboard Cite

Background Dual antiplatelet therapy (DAPT) in the form of aspirin plus a P2Y12 inhibitor, when indicated, is one of the key treatments in coronary artery disease (CAD). Many recommendations on DAPT in patients with CAD based on current guidelines are largely inconsistent. In our current study, we aimed at systematically reviewing DAPT‐relevant clinical practice guidelines, and highlighting their commonalities and differences for better informed decision‐making. Methods Contemporary guidelines in English were searched in MEDLINE, Embase and websites of guideline organizations and professional societies. Guidelines with recommendations on DAPT for CAD patients were included. Guideline quality was appraised with the 6‐domain Appraisal of Guidelines for Research and Evaluation II (AGREE II) instrument. The reporting of conflicts of interest (COI) was assessed individually with supplementary items from the RIGHT (Reporting Item for Practice Guidelines in Healthcare) checklist. Meanwhile, extraction of recommendations was performed. Results A total of 18 guidelines fulfilled our inclusion criteria. Most of them were graded with relatively good scores averaging from 42% to 74%. Domains for lower scores were in “stakeholder involvement” and “application.” The reporting of COI was satisfactory. For the recommendations on DAPT, most guidelines with high AGREE II scores included consistent recommendations on the timing and P2Y12 inhibitor selection. Nonetheless, conflicts still exist on the duration of DAPT. Conclusions Quality of guidelines for DAPT in CAD was relatively high, though defects existed in “Applicability” and “Stakeholder Involvement.” As these guidelines developed, DAPT recommendations gradually converged on a consensus. Clinical decision should be made on an individual basis.

show abstract

National Heart Foundation of Australia & Cardiac Society of Australia and New Zealand: Australian Clinical Guidelines for the Management of Acute Coronary Syndromes 2016

Cited by 266 publications

References 210 publications

Evolving management and improving outcomes of pregnancy-associated spontaneous coronary artery dissection (P-SCAD): a systematic review

Evolving management and improving outcomes of pregnancy-associated spontaneous coronary artery dissection (P-SCAD): a systematic review

Rapid and safe discharge from the emergency department: A single troponin to exclude acute myocardial infarction

Critical appraisal of guidelines for coronary artery disease on dual antiplatelet therapy: More consensus than controversies

Contact Info

Product

Resources

About