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Journal of the American Academy of Nurse Practitioners · 2007

Non-ST segment elevation acute coronary syndromes: treatment guidelines for the nurse practitioner.

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Albert Nancy, American College of Cardiology, American Heart Association

Аннотация

PURPOSE: To increase awareness among nurse practitioners (NPs) of the American College of Cardiology (ACC)/American Heart Association (AHA) 2002 guideline update for the diagnosis and treatment of acute coronary syndrome, and for secondary prevention in patients with unstable angina (UA) and non-ST segment elevation myocardial infarction (NSTEMI).

DATA SOURCES: ACC/AHA 2002 guideline update for the management of patients with UA and NSTEMI, ACC/AHA guidelines for patients with coronary and other atherosclerotic vascular disease, 2006 update, selected research and clinical articles.

CONCLUSIONS: Recent research has shown that patients with UA/NSTEMI benefit from the routine, long-term use of dual antiplatelet therapy with aspirin and clopidogrel. In suitable patients, outcome is also improved by adoption of an early invasive strategy combined with aggressive medical therapy.

IMPLICATIONS FOR PRACTICE: Familiarity with the patient as well as current management recommendations can improve clinical outcomes for patients with UA/NSTEMI. Thus, NPs can play a pivotal role in the management of coronary disease, both during and following an acute ischemic event.

Предметные рубрики MeSH

ИП Урсолов Владлен Сергеевич

ИНН 500118482352 · ОГРНИП 314500117700049

Реквизиты и контакты