[Management of patients with non-ST-elevation acute coronary syndrome by regionalization of care].
The new guidelines for the treatment of non-ST-elevation acute coronary syndromes, recently released by the European Society of Cardiology, state that an aggressive approach, that include an early coronary angiography and early revascularization whenever anatomically feasible, should be used in every high-risk patient. However, questions have been raised about the applicability of these recommendations in the general population, particularly for patients admitted to hospitals where a program of interventional cardiology is not available. The most debated and complex features of these guidelines for a correct management of acute coronary syndrome in hospitals with and without on-site catheterization facilities are discussed.
Cavallini
Claudio
C
Divisione di Cardiologia, Ospedale Regionale Ca' Foncello, Treviso. clcaval@tin.it
D000208:Acute Disease; D000789:Angina, Unstable / Q000503:physiopathology / Q000628:therapy*; D004562:Electrocardiography; D004638:Emergency Treatment; D006801:Humans; D009203:Myocardial Infarction / Q000503:physiopathology / Q000628:therapy*; D013577:Syndrome