Patients Who Require Non-Cardiac Surgery in Acute Coronary Syndrome

被引：0

作者：

Wessler, Jeffrey D. ^{[1
,2
]}

Kirtane, Ajay J. ^{[1
,2
]}

机构：

[1] Columbia Univ, Med Ctr, New York Presbyterian Hosp, New York, NY 10032 USA

[2] Cardiovasc Res Fdn, New York, NY 10032 USA

来源：

CURRENT CARDIOLOGY REPORTS | 2013年 / 15卷 / 07期

关键词：

Acute coronary syndrome; Non-cardiac surgery; Perioperative; DUAL ANTIPLATELET THERAPY; COLLEGE-OF-CARDIOLOGY; PERIOPERATIVE CARDIAC MANAGEMENT; ELEVATION MYOCARDIAL-INFARCTION; ACC/AHA; 2007; GUIDELINES; ASSOCIATION TASK-FORCE; DRUG-ELUTING STENT; VASCULAR-SURGERY; HEART-ASSOCIATION; AMERICAN-COLLEGE;

D O I：

10.1007/s11886-013-0373-3

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

The coexistence of an acute coronary syndrome (ACS) and non-cardiac surgery (NCS) in an individual patient can be summarized in two challenging clinical scenarios for the treating physician: 1) Post-operative patients who develop ACS and 2) Patients with ACS who subsequently require NCS. Both settings are characterized by a struggle on the part of treating physicians attempting to optimize antithrombotic therapies for ACS while minimizing post-surgical bleeding risk. In this review we address specific clinical issues related to patients with coexistent NCS and ACS, discussing possible management strategies balancing ischemic and bleeding risk in these complex patient scenarios.

引用

页数：9

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