2011 ACCF/AHA 不稳定型心绞痛/非 ST 段抬高型心肌梗死患者管理指南的重点更新（更新 2007 年指南）：临床医生重点关注
2011 ACCF/AHA focused update of the guidelines for the management of patients with Unstable Angina/Non-ST-Elevation Myocardial Infarction (updating the 2007 Guideline): highlights for the clinician.
机构信息
Division of Cardiology, Emory University School of Medicine, Atlanta, Georgia, USA.
出版信息
Clin Cardiol. 2012 Jan;35(1):3-8. doi: 10.1002/clc.20964. Epub 2011 Dec 6.
Abstract
The 2011 Update to the Unstable Angina/Non-ST-Elevation Myocardial Infarction (UA/NSTEMI) Guideline is based in evolving data or expert opinion and incorporates information from late-breaking clinical trials presented at the 2008-2009 Scientific Sessions of the American College of Cardiology, the American Heart Association, and the European Society of Cardiology, among others, as well as selected data through April 2010. The 5 key issues highlighted in this summary are: (1) the timing of acute interventional therapy in non-ST-elevation myocardial infarction; (2) emphasis on the timing, duration, and application of dual and triple antiplatelet therapy; (3) specific recommendations for patients with diabetes mellitus; (4) the role and potential benefit of invasive therapy in patients with advanced renal dysfunction; and (5) issues of quality improvement for acute coronary syndromes.
摘要
2011 年不稳定型心绞痛/非 ST 段抬高型心肌梗死（UA/NSTEMI）指南更新版基于不断发展的数据或专家意见，并纳入了美国心脏病学会 2008-2009 年科学会议、美国心脏协会和欧洲心脏病学会等机构的最新临床试验信息，以及截至 2010 年 4 月的其他选定数据。本摘要重点强调了 5 个关键问题：（1）非 ST 段抬高型心肌梗死患者急性介入治疗的时机；（2）强调双重和三重抗血小板治疗的时机、持续时间和应用；（3）对糖尿病患者的具体建议；（4）在肾功能严重受损患者中采用有创治疗的作用和潜在获益；（5）急性冠状动脉综合征的质量改进问题。
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