Review of the 2014 AHA/ACC Guideline for the Management of Patients with Non-ST-Elevation Acute Coronary Syndromes: What is New and Why?

Howard, Brian; Wenger, Nanette K.

doi:10.1007/s12170-016-0496-3

Cited by 2 publications

(3 citation statements)

References 17 publications

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“…Patients enrolled in the registry were citizens ≥18 years of age diagnosed with ACS according to the American College of Cardiology (ACC) data standards[ 7 ] including ST-segment elevation myocardial infarction (STEMI), non-STEMI (NSTEMI), left bundle branch block (LBBB) myocardial infarction, or unstable angina (UA). A written informed consent was obtained to participate in the study.…”

Section: Methodsmentioning

confidence: 99%

“…Data were collected on a standardized report form (CRF) with variables that were congruent with ACC key data elements and definitions. [ 7 ] Data collected included patient demographics, previous medical history, risk factors, prior medications, clinical presentation, management during hospital stay (including medications, reperfusion therapy, and procedures), and discharge medications. Patients were followed up at 1 month, 6 months, and 12 months interval.…”

Section: Methodsmentioning

confidence: 99%

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Gender differences among patients with acute coronary syndrome in the Middle East

et al. 2017

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Background:There is controversy regarding the relationship between gender and acute coronary syndrome (ACS).Objective:To study the impact of gender on presentation, management, and mortality among patients with ACS in the Middle East.Methodology:From January 2012 to January 2013, 4057 patients with ACS were enrolled from four Arabian Gulf countries (Kuwait, Oman, United Arab Emirates, and Qatar), representing more than 85% of the general hospitals in each of the participating countries.Results:Compared to men, women were older and had more comorbidities. They also had atypical presentation of ACS such as atypical chest pain and heart failure. The prevalence of non-ST-segment elevation myocardial infarction (49 vs. 46%; P < 0.001) and unstable angina (34 vs. 24%; P < 0.001) was higher among women as compared to men. In addition, women were less likely to receive evidence-based medications such as aspirin, clopidogrel, beta-blocker, and angiotensin-converting enzyme inhibitors on admission and on discharge. During hospital stay, women suffered more heart failure (15 vs. 12%; P = 0.008) and were more likely to receive blood transfusion (6 vs. 3%; P < 0.001). Women had higher 1-year mortality (14 vs. 11%; P < 0.001), the apparent difference that disappeared after adjusting for age and other comorbidities.Conclusion:Although there were differences between men and women in presentation, management, and in-hospital outcomes, gender was shown to be a nonsignificant contributor to mortality after adjusting for confounders.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Gender differences among patients with acute coronary syndrome in the Middle East

et al. 2017

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“…Inclusion criteria 8 Patient management during hospitalization was conducted in accordance with the ACC/AHA 2014 guidelines to manage unstable angina/non-ST-segment elevation myocardial infarction through conventional treatment. 8 This study was approved by the Medical Ethics Committee of the Hospital. The written informed consents were obtained from all subjects, and the treatment process was not interfered by this study.…”

Section: Subjects and Management During Hospitalizationmentioning

confidence: 99%

A predictive value of the dynamic changes of the P‐wave terminal force in lead V₁ in the long‐term prognosis of patients with non–ST‐segment elevation acute coronary syndrome

Lin

et al. 2020

Clinical Laboratory Analysis

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Background The purpose of this study was to investigate the prognostic value of dynamic changes of P‐wave terminal force in lead V 1 (PtfV 1 ) at electrocardiogram (ECG) in patients with non–ST‐segment elevation acute coronary syndrome (NSTE‐ACS) during the long‐term major adverse cardiovascular events (MACEs) of patients. Methods According to the PtfV 1 value, the patients were divided into four groups: PtfV 1 (−)/PtfV 1 (−), PtfV 1 (−)/PtfV 1 (+), PtfV 1 (+)/PtfV 1 (−), and PtfV 1 (+)/PtfV 1 (+). Results The highest incidence of MACEs was the PtfV 1 (−)/(+) group with 24 patients (24.7%). The lowest incidence was the PtfV 1 (−)/(−) group with 28 patients (4.9%). Compared with the PtfV 1 (−)/(−) group, the risk for the occurrence of MACEs in the PtfV 1 (−)/(+)group was significantly increased (24.7% vs 4.9%, P = .000). Similarly, the risk in the PtfV 1 (+)/(+) group was also increased (10.1% vs 4.9%, P = .000). Conclusion The persistence of PtfV 1 (+) and conversion of PtfV 1 /(−) to PtfV 1 /(+) at discharge significantly increased the incidence of MACEs.

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Review of the 2014 AHA/ACC Guideline for the Management of Patients with Non-ST-Elevation Acute Coronary Syndromes: What is New and Why?

Cited by 2 publications

References 17 publications

Gender differences among patients with acute coronary syndrome in the Middle East

Gender differences among patients with acute coronary syndrome in the Middle East

A predictive value of the dynamic changes of the P‐wave terminal force in lead V₁ in the long‐term prognosis of patients with non–ST‐segment elevation acute coronary syndrome

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Review of the 2014 AHA/ACC Guideline for the Management of Patients with Non-ST-Elevation Acute Coronary Syndromes: What is New and Why?

Cited by 2 publications

References 17 publications

Gender differences among patients with acute coronary syndrome in the Middle East

Gender differences among patients with acute coronary syndrome in the Middle East

A predictive value of the dynamic changes of the P‐wave terminal force in lead V1 in the long‐term prognosis of patients with non–ST‐segment elevation acute coronary syndrome

Contact Info

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A predictive value of the dynamic changes of the P‐wave terminal force in lead V₁ in the long‐term prognosis of patients with non–ST‐segment elevation acute coronary syndrome