title: Practical implementation of the Guidelines for Unstable Angina/Non-ST-Segment Elevation Myocardial Infarction in the emergency department.
abstract: In the United States each year, >5.3 million patients present to emergency departments with chest discomfort and related symptoms. Ultimately, >1.4 million individuals are hospitalized for unstable angina and non-ST-segment elevation myocardial infarction. For emergency physicians and cardiologists alike, these patients represent an enormous challenge to accurately diagnose and appropriately treat. This update of the 2002 American College of Cardiology/American Heart Association Guidelines for the Management of Patients with Unstable Angina and Non-ST-Segment Elevation Myocardial Infarction (UA/NSTEMI) provides an evidence-based approach to the diagnosis and treatment of these patients in the emergency department, in-hospital, and after hospital discharge. Despite publication of the guidelines several years ago, many patients with UA/NSTEMI still do not receive guidelines-indicated therapy.
authors.affiliation: University of Cincinnati College of Medicine, USA.
authors.forename: W Brian
authors.initials: WB
authors.lastname: Gibler
authors.forename: Christopher P
authors.initials: CP
authors.lastname: Cannon
authors.forename: Andra L
authors.initials: AL
authors.lastname: Blomkalns
authors.forename: Douglas M
authors.initials: DM
authors.lastname: Char
authors.forename: Barbara J
authors.initials: BJ
authors.lastname: Drew
authors.forename: Judd E
authors.initials: JE
authors.lastname: Hollander
authors.forename: Allan S
authors.initials: AS
authors.lastname: Jaffe
authors.forename: Robert L
authors.initials: RL
authors.lastname: Jesse
authors.forename: L Kristin
authors.initials: LK
authors.lastname: Newby
authors.forename: E Magnus
authors.initials: EM
authors.lastname: Ohman
authors.forename: Eric D
authors.initials: ED
authors.lastname: Peterson
authors.forename: Charles V
authors.initials: CV
authors.lastname: Pollack
mesh_terms: D000789:Angina, Unstable / Q000175:diagnosis* / Q000628:therapy*; D004636:Emergency Service, Hospital; D019317:Evidence-Based Medicine; D019983:Guideline Adherence; D006801:Humans; D009203:Myocardial Infarction / Q000175:diagnosis* / Q000628:therapy*; D011785:Quality Assurance, Health Care / Q000379:methods; D012306:Risk