Key result
Appropriate therapy including reperfusion, anticoagulation, and antiplatelet therapy can markedly improve the prognosis of patients with acute coronary syndromes.
Prompt recognition and appropriate therapy, including reperfusion and antithrombotic strategies, markedly improve prognosis and reduce complications in patients with acute coronary syndromes.
Emphasizes prompt ACS therapy to improve prognosis; supports established care but leaves open refinements for specific populations.
Acute coronary syndromes are defined as unstable angina, non-Q-wave myocardial infarction, and Q-wave myocardial infarction. These entities remain among the commonest life-threatening illnesses in industrialized nations. Prompt recognition of a patient with an acute coronary syndrome is important since appropriate therapy can markedly improve the patient's prognosis. Reperfusion strategies for patients with Q-wave myocardial infarction, and anticoagulation and antiplatelet therapy for patients with unstable angina or non-Q-wave myocardial infarction are examples of such potentially life-saving interventions. A number of adjunctive pharmacological interventions are also beneficial following reperfusion therapy in patients with Q-wave myocardial infarction. Management of Complications following Q-wave myocardial infarction has improved markedly in recent years. This is particularly the case with postinfarction ischemia or heart failure. Persistent arrhythmias, and in particular ventricular arrhythmias, remain a troubling challenge for the clinician. Reperfusion therapy markedly reduces the incidence of complications following Q-wave myocardial infarction.
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Yun et al. (2008) conducted a review in Acute coronary syndromes. Appropriate therapy including reperfusion, anticoagulation, and antiplatelet therapy can markedly improve the prognosis of patients with acute coronary syndromes.
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