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The ESC Textbook of Intensive and Acute Cardiac Care$
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The ESC Textbook of Intensive and Acute Cardiac Care

Edited by Marco Tubaro, Nicolas Danchin, Gerasimos Filippatos, Patrick Goldstein, Pascal Vranckx, Doron Zahger

European Society of Cardiology Acute Cardiac Care ESC Working Group Acute Cardiovassular Care Associations

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Publisher:
Oxford University Press
Print Publication Date:
Jan 2011
Print ISBN-13:
9780199584314
Published to Oxford Medicine:
Jan 2011
DOI:
10.1093/med/9780199584314.001.0001
© European Society of Cardiology

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Oxford University Press makes no representation, express or implied, that the drug dosages in this book are correct. Readers must therefore always check the product information and clinical procedures with the most up to date published product information and data sheets provided by the manufacturers and the most recent codes of conduct and safety regulations. The authors and the publishers do not accept responsibility or legal liability for any errors in the text or for the misuse or misapplication of material in this work. Except where otherwise stated, drug dosages and recommendations are for the non-pregnant adult who is not breastfeeding.

Contents

Non-ST-elevation acute coronary syndromes

Chapter:
Non-ST-elevation acute coronary syndromes
Author(s):

Diego Ardissino,

Daniela Lina,

Francesca Notarangelo

DOI:
10.1093/med/9780199584314.003.0046

Acute coronary syndromes (ACS) represent a broad spectrum of ischaemic myocardial events associated with high morbidity and mortality rates, thus making them a major public health problem worldwide. Almost all ACS are due to coronary atherosclerosis, generally with superimposed coronary thrombosis. An accurate diagnosis has life-saving implications and requires the detailed assessment of a patient’s history, physical examination, 12-lead ECG findings, and cardiac biomarker assays. A careful early risk stratification is mandatory and permits the identification of the moderate- and high-risk patients who gain the greatest benefit from potent antithrombotic therapies and early revascularization. To optimize the treatment of ACS, adherence to the current guidelines significantly improves clinical outcomes by reducing mortality and morbidity.

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