Risk stratification in the patient with non ST segment elevation acute coronary syndrome
P. R. health sci. j
;
24(4): 323-336, Dec. 2005.
Artículo
en Inglés
| LILACS
| ID: lil-472808
ABSTRACT
Patients hospitalized with unstable angina (UA) or with a non-ST segment elevation myocardial infarct (NSTEMI) are at increased risk of suffering refractory angina, recurrent myocardial infarct (MI), and death. These patients need to be evaluated more aggressively. According to the last published guidelines (2002) of UA/NSTEMI by the ACC/AHA Task Force, these patients should be categorized in a risk scale as low, intermediate or high. This should be done in the initial evaluation, which includes medical history, physical exam, an electrocardiogram (ECG) and cardiac markers. The TIMI risk score should also be used as complementary in this risk assessment. High risk patients, without contraindications, should be managed more aggressively with coronary angiography. On the other end, low risk patients, and some intermediate, may be evaluated more conservatively with early non-invasive studies for further assessment of ischemia and prognosis.
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Índice:
LILACS (Américas)
Asunto principal:
Angina Inestable
/
Infarto del Miocardio
Tipo de estudio:
Estudio de etiología
/
Estudio pronóstico
/
Factores de riesgo
Límite:
Humanos
Idioma:
Inglés
Revista:
P. R. health sci. j
Asunto de la revista:
Medicina
Año:
2005
Tipo del documento:
Artículo
País de afiliación:
Puerto Rico
Institución/País de afiliación:
Veterans Administration Medical Center of San Juan/PR
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