Cannon Christopher P
TIMI Study Group, Brigham and Women's Hospital, Boston, MA 02115, USA.
Crit Pathw Cardiol. 2008 Mar;7(1):43-81. doi: 10.1097/HPC.0b013e3181642955.
The Strategies and Therapies for Reducing Ischemic and Vascular Events (STRIVE) acute coronary syndromes (ACS) critical pathway toolkit, developed in 2002, has been revised and updated. The updated toolkit is based on the American College of Cardiology/American Heart Association 2007 guidelines for the management of patients with unstable angina/non-ST-segment elevation myocardial infarction (UA/NSTEMI). This review highlights the major revisions to the UA/NSTEMI guidelines and illustrates and describes the revised STRIVE critical pathway tools, which include pathway flowcharts, standing orders, pocket cards, posters, and form letters. These materials are being made available online to help physicians, nurses, and hospitals implement the new guidelines and thus improve the quality of care and outcomes for patients with ACS.
2002年制定的降低缺血性和血管性事件策略与疗法（STRIVE）急性冠状动脉综合征（ACS）关键路径工具包已进行修订和更新。更新后的工具包基于美国心脏病学会/美国心脏协会2007年不稳定型心绞痛/非ST段抬高型心肌梗死（UA/NSTEMI）患者管理指南。本综述重点介绍了UA/NSTEMI指南的主要修订内容，并举例说明和描述了修订后的STRIVE关键路径工具，其中包括路径流程图、长期医嘱、袖珍卡片、海报和格式信函。这些材料将在网上提供，以帮助医生、护士和医院实施新指南，从而提高ACS患者的护理质量和治疗效果。
