[2002 Update of the Guidelines of the Spanish Society of Cardiology for Unstable Angina/Without ST-Segment Elevation Myocardial Infarction].
Since the Spanish Society of Cardiology Clinical Practice Guidelines on Unstable Angina/Non-Q-Wave Myocardial Infarction were released in 1999, the conclusions of several studies that have been published make it advisable to update current clinical recommendations. The main findings are related to the developing role of Chest Pain Units in the management and early risk stratification of acute coronary syndromes in the emergency department; new information concerning the efficacy of glycoprotein IIb/IIIa inhibitors, clopidogrel and low-molecular-weight heparins in the pharmacological treatment of acute coronary syndromes without ST-segment elevation; and the role of early invasive strategy in improving the prognosis of these patients. The published evidence is reviewed and the corresponding clinical recommendations for the management of acute coronary syndromes without persistent ST-segment elevation are updated.
Sociedad Española de Cardiología, Fundacion Hospital de Alcorcon, Madrid, Spain. llopez@fhalcorcon.es
Lorenzo
L
López Bescós
Fernando
F
Arós Borau
Rosa M
RM
Lidón Corbi
Angel
A
Cequier Fillat
Héctor
H
Bueno
Joaquín J
JJ
Alonso
Isabel
I
Coma Canella
Angel
A
Loma-Osorio
Julián
J
Bayón Fernández
Rafael
R
Masiá Martorell
José
J
Tuñón Fernández
Antonio
A
Fernández-Ortiz
Jaume
J
Marrugat De La Iglesia
Miguel
M
Palencia Pérez
D000789:Angina, Unstable / Q000175:diagnosis / Q000188:drug therapy / Q000628:therapy*; D002637:Chest Pain; D000077144:Clopidogrel; D004562:Electrocardiography; D006495:Heparin, Low-Molecular-Weight / Q000627:therapeutic use; D006801:Humans; D009203:Myocardial Infarction / Q000175:diagnosis / Q000188:drug therapy / Q000628:therapy*; D010975:Platelet Aggregation Inhibitors / Q000627:therapeutic use; D018570:Risk Assessment; D013988:Ticlopidine / Q000031:analogs & derivatives / Q000627:therapeutic use
D006495:Heparin, Low-Molecular-Weight; D010975:Platelet Aggregation Inhibitors; D000077144:Clopidogrel; D013988:Ticlopidine