[PDF] Top 20 ACC AHA Guidelines Percutaneous Coronary Executive summary Circ Journal.pdf

... Practice Guidelines was formed to gather information and make recommendations about appropriate use of technology for the diagnosis and treatment of patients with cardiovascular ...ous coronary ... See full document

... trials, the 2 most recent trials comparing invasive versus conservative strategies in patients with UA/NSTEMI, showed a benefit in patients assigned to the invasive strategy. In contrast to earlier trials, a large ... See full document

... Angina. ACC/AHA 2002 guideline update for the management of patients with unstable angina and non–ST-segment elevation myocardial infarction—summary article: a report of the American College of ... See full document

... Drugs and ablation are effective for both rate and rhythm control, and in special circumstances surgery may be the preferred option. Regardless of the approach, the need for anticoagulation is based on stroke risk and ... See full document

... the ACC, the AHA, and the SCAI for a more detailed explana- tion of the changes discussed ...2001 ACC/AHA Guidelines for Percutaneous Coronary Intervention from roman ... See full document

... less than 0.0001). The incidence of stroke and major bleeding was also increased in the elderly at 1 year. Abciximab administration did not confer a benefit in elderly patients but was deemed safe. In contrast, routine ... See full document

... undergoing percutaneous coronary intervention, anticoagulation may be inter- rupted to prevent bleeding at the site of periph- eral arterial puncture, but the vitamin K antag- onist should be resumed as ... See full document

... trial included more than 20 000 men and women age 40 to 80 years with coronary disease, other vascular disease, diabetes, and/or hypertension. Patients were randomized to simvastatin 40 mg or matching placebo and ... See full document

... 2. Percutaneous revascularization is reasonable for pa- tients with hemodynamically significant RAS and unstable angina (see ...these guidelines are intended to apply to individuals with refractory heart ... See full document

... the guidelines posted on the American College of Cardiology (ACC), American Heart Association (AHA), and North American Society for Pacing and Electrophysiology (NASPE) World Wide Web sites for a ... See full document

... patent infarct artery, survivors of STEMI with a persistently occluded artery after fibrinolysis, PCI, or no reperfusion therapy have 1) increased LV dilatation (484), 2) a greater incidence of spontaneous and inducible ... See full document

... the ACC/AHA guidelines for use of PCI in general ...a coronary stent is used, a delay of at least 2 weeks and ideally 4 to 6 weeks should occur before noncardiac surgery to allow 4 full weeks ... See full document

... precipitate coronary artery spasm when the diagnosis is sus- pected but not objectively ...during coronary angiography; the spasm can then be visualized before the appearance of chest pain and promptly ... See full document

... The guidelines, incorporating the update, are available on the Web sites of both the American College of Cardiology (www.acc.org) and the American Heart Association (www.americanheart.org). In the Web site ... See full document

... occult coronary artery dis- ease, hypertension, and diabetes, adverse cardiovascular and physiological responses during exercise training are possi- ble, and this risk should be evaluated clinically before initia- ... See full document

... handling of trauma patients. When considering recommendations for timely reperfusion of STEMI patients, the Writing Committee reviewed data from clinical trials, focusing particular attention on enrollment criteria for ... See full document

... considerations. Coronary revascularization before noncardiac surgery to enable the patient to “get through” the noncardiac procedure is appropriate only for a small subset of patients at very high ... See full document

... The results of a number of randomized, clinical trials com- paring angioplasty and bypass surgery have been published. The trials excluded patients in whom survival had already been shown to be longer with bypass surgery ... See full document

... A meta-analysis of 8 randomized trials completed between 1986 and 1993 has been carried out that compared the outcomes of CABG and percutaneous transluminal coronary angioplasty (PTCA) in 3371 patients with ... See full document

... termed percutaneous transluminal coronary angioplasty (PTCA), PCI now includes other new techniques capable of relieving coronary ...treating coronary atherosclerosis are considered compo- ... See full document