Current guidelines for the management of unstable angina: a new diagnostic and management paradigm

被引:0
作者
Aroney, C
Boyden, AN
Jelinek, MV
Thompson, P
Tonkin, AM
White, H
机构
[1] Natl Heart Fdn Australia, W Melbourne, Vic 3003, Australia
[2] Prince Charles Hosp, Coronary Care Unit, Brisbane, Qld 4032, Australia
[3] St Vincents Hosp, Melbourne, Vic, Australia
[4] Sir Charles Gairdner Hosp, Nedlands, WA 6009, Australia
[5] Univ Western Australia, Perth, WA 6009, Australia
[6] Green Lane Hosp, Dept Cardiol, Auckland 3, New Zealand
关键词
guidelines; risk stratification; troponin; unstable angina;
D O I
暂无
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The new guidelines reflect a worldwide change to more sensitive diagnostic strategies and more aggressive management of unstable angina. Stratification to high risk now includes those patients with only a minor degree of electrocardiographic ST depression (0.5 mm) or a significant elevation of cardiac troponin. High-risk patients are recommended to be treated with intensive medical and invasive management. Intermediate-risk patients may be best evaluated using an accelerated diagnostic strategy over an 8-12 h period before being reclassified as high or low risk.
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页码:104 / 111
页数:8
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