Acute medical management of the non-ST-segment elevation acute coronary syndromes (NSTE-ACS) in older patients
Archives of Gerontology and Geriatrics, 10/14/2009
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Docherty A – Older patients with non–ST–segment elevation acute coronary syndrome (NSTE–ACS) represent many clinical challenges. For example diagnosis can be difficult, and comorbidities are common. Furthermore, NSTE–ACS is particularly ... mortality associated with NSTE–ACS is particularly high. Despite these many concerns, evidence from clinical trials based on this group of patients is limited. Future prospective clinical trials should therefore more accurately reflect the NSTE–ACS patient population by including more ... highlighted some of the main considerations we should make when treating elderly patients with NSTE–ACS. Different therapy options in the pharmacological management of NSTE–ACS in this age group are also discussed.
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Comparison of prasugrel and clopidogrel in patients with acute coronary syndrome undergoing percutaneous coronary intervention
Vascular Health and Risk Management, 10/22/2009
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complications of ACS and/or PCI compared to aspirin alone and is standard of care for the management of patients with ACS and in patients undergoing PCI. Prasugrel is a novel thienopyridine antiplatelet agent recently approved for the treatment of patients with ACS undergoing PCI. Prasugrel provides ... The enhanced platelet inhibition with prasugrel led to a reduction in major adverse cardiovascular events in patients with moderate to high risk ACS scheduled for PCI in the phase 3 TRITON–TIMI 38 trial. This benefit was seen more in patients suffering a STEMI and those with diabetes. However
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Pancreatic Necrosectomy: North American Mortality Is Much Lower than Expected
Journal of the American College of Surgeons, 10/30/2009
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that patients undergoing debridement for pancreatic and peripancreatic necrosis at ACS–NSQIP hospitals provide a new North American sample and have better than predicted outcomes. The authors concluded that ACS–NSQIP is a powerful tool to assess contemporary outcomes of uncommon, high
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Relationship between baseline haemoglobin and major bleeding complications in acute coronary syndromes
European Heart Journal, 10/16/2009
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is an independent predictor of the risk of major bleeding in ACS as well as of the risk of death and death and MI. Among other predictors of bleeding risk, baseline haemoglobin should be taken into account in patients presenting with ACS.
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Risk factors and outcome of acute renal failure in patients with severe acute pancreatitis
Journal of Critical Care, 10/02/2009
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patients with SAP include history of renal disease, hypoxemia, and ACS. Measures that can prevent ARF include homeostasis maintenance, adequate perfusion of the kidneys, adequate oxygenation, and abdominal decompression to avoid ACS.
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Intravascular ultrasound radiofrequency analysis of the lesion segment profile in ACS patients
Clinical Research in Cardiology, 10/06/2009
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König A et al. – In the majority of the lesion segments in ACS patients the ws–CSA is not identical with the mla–CSA. The ws–CSA compared to mla–CSA presented with
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Quantifying the impact of standardized assessment and symptom management tools on symptoms associated with cancer-induced anorexia cachexia syndrome
Palliative Medicine, 10/05/2009
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Hawkins C et al. – We conclude that patients with ACS are recognised late in their disease and have a considerable burden of active symptoms. A structured approach to assessment and management has a ... referred recruited29/79 (36.7%) were too unwell or died prior to consentPG-SGA tool revealed 250 active symptoms associated with ACSTotal PG-SGA score above 9 for all patients Predominant interventions involved simple dietary advice and prescription of artificial
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Heart Patients Running The Red Light On Traffic Restrictions
ScienceDaily, 10/28/2009
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ACS is a constellation of cardiac symptoms, including angina or chest pain, and reduced blood flow to the heart. One treatment can be angioplasty, a non–surgical procedure to open up blood vessels in the heart that have been
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Patient Characteristics Associated With the Choice of Triple Antithrombotic Therapy in Acute Coronary Syndromes
The American Journal of Cardiology, 10/22/2009
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Fonarow GC et al. – For patients with ACS, atrial fibrillation and atrial flutter were most strongly associated with the use of triple therapy; however, this therapy was used less often than dual or
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ACS Wins Kentucky HIE Contract
HealthDataManagement, 10/22/2009
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Affiliated Computer Services Inc. will develop and maintain the initial phases of the Kentucky Health Information Exchange in a three–year contract valued at $4.5 million.
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