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Acute Coronary Syndromes : Management and Secondary Prevention = Akutes Koronarsyndrom. Management und Sekundärprävention

Wenaweser, Peter ; Windecker, Stephan

In: Herz Kardiovaskuläre Erkrankungen, 2008, vol. 33, no. 1, p. 25-37

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    Titre
    • Acute Coronary Syndromes
      Management and Secondary Prevention
    Titre traduit ()
    • Akutes Koronarsyndrom. Management und Sekundärprävention
    Auteur
    • Wenaweser, Peter
    • Windecker, Stephan. Department of Cardiology, University Hospital, Bern, Switzerland
    Type de document
    • Postprint
    Langue
    • Inglese
    Publié dans
    • Herz Kardiovaskuläre Erkrankungen, 2008, vol. 33, no. 1, p. 25-37. Urban & Vogel
    Autre version électronique
    Identifiant OAI-PMH
    • oai:doc.rero.ch:309749
    Summary
    Acute coronary syndromes represent a broad spectrum of ischemic myocardial events including unstable angina, non-ST elevation myocardial infarction and acute ST elevation myocardial infarction, which are associated with high morbidity and mortality. They constitute the most frequent cause of hospital admission related to cardiac disease. Early diagnosis and risk stratification are essential for initiation of optimal medical and invasive management. Therapeutic measures comprise aggressive antiplatelet, antithrombotic, and anti-ischemic agents. In addition, patients with high-risk features, notably positive troponin, ST segment changes and diabetes, benefit from an early invasive as compared to a conservative strategy. Importantly, lifestyle interventions, modification of the risk factor profile, and long-term medical treatment are of pivotal importance in reducing the long-term risk of recurrence