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The ACC/AHA Joint Committee on Clinical Practice Guidelines has commissioned this guideline to focus on the evaluation of acute or stable chest pain or other anginal equivalents, in various clinical settings, with an emphasis on the diagnosis on ischemic causes.
Clopidogrel (Plavix) should be continued at 75 mg PO daily. If CABG is necessary for a patient already treated with a P2Y 12 antagonist, defer surgery if possible to allow washout for 5 days (for ticagrelor or clopidogrel) or 7 days (for prasugrel). After surgery, once the patient is stable, all major lines have been removed, and no bleeding is ...
1 Μαρ 2020 · Pre-hospital fibrinolysis with immediate transfer to a PCI-capable centre is highly recommended. Aspirin administration at the time of fibrinolysis is mandatory. Clopidogrel (300 mg loading dose in <75 years old and 75 mg dose in ≥ 75 years old) in combination with pre-hospital fibrinolysis is mandatory.
28 Οκτ 2021 · Several observational series report that prompt stress echocardiography in the ED for the evaluation of acute chest pain is associated with significantly lower costs, with no adverse sequelae after early discharge. 1,2 In a single-center randomized trial of 400 patients, prompt stress echocardiography was associated with a reduced rate of ...
14 Δεκ 2022 · Place patient on a cardiac monitor, establish intravascular access (IV) access, give 162 mg to 325 mg chewable aspirin, clopidogrel, or ticagrelor (unless bypass surgery is imminent), control pain and consider oxygen (O2) therapy.
6 Ιουν 2014 · The Clopidogrel for High Atherothrombotic Risk and Ischemic Stabilization, Management, and Avoidance (CHARISMA) trial sought to determine whether prolonged DAPT may be beneficial outside of patients with recent ACS or stenting. 23 A total of 15 603 patients were randomized to aspirin plus clopidogrel or aspirin plus placebo and followed for a ...
Chest pain management. Coronary revascularization is the most efficient analgesic treatment in patients with acute myocardial ischemia, regardless of ACS type. Patients presenting with STEMI or NSTE-ACS with recurrent or refractory chest pain despite medical treatment should be qualified to immediate invasive strategy [2, 5]. However, even in ...
