Acute management of unstable angina and non-ST segment elevation myocardial infarction / Tratamento atual da síndrome coronária aguda sem supradesnivelamento do segmento ST
Einstein (Säo Paulo)
;
13(3): 454-461, July-Sep. 2015. tab, graf
Article
in English
| LILACS
| ID: lil-761960
ABSTRACT
Non-ST segment elevation coronary syndrome usually results from instability of an atherosclerotic plaque, with subsequent activation of platelets and several coagulation factors. Its treatment aims to reduce the ischemic pain, limiting myocardial damage and decreasing mortality. Several antiplatelet and anticoagulation agents have been proven useful, and new drugs have been added to the therapeutic armamentarium in the search for higher anti-ischemic efficacy and lower bleeding rates. Despite the advances, the mortality, infarction and readmission rates remain high.
RESUMO
A síndrome coronária sem supradesnivelamento do ST geralmente resulta da instabilização de uma placa aterosclerótica, com subsequente ativação plaquetária e de diversos fatores de coagulação. O tratamento visa aliviar a dor isquêmica, limitar o dano miocárdico e diminuir a mortalidade. Diversos agentes antiagregantes e anticoagulantes provaram sua utilidade, e novas drogas passaram a compor o arsenal terapêutico, buscando maior eficácia anti-isquêmica e menores índices de sangramento. Apesar dos avanços, as taxas de mortalidade, infarto e reinternação ainda permanecem elevadas.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Critical Care
/
Acute Coronary Syndrome
/
Angina, Unstable
/
Myocardial Infarction
Type of study:
Diagnostic study
Limits:
Humans
Language:
English
Journal:
Einstein (Säo Paulo)
Journal subject:
Medicine
Year:
2015
Type:
Article
Affiliation country:
Brazil
Institution/Affiliation country:
Hospital Israelita Albert Einstein/BR
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