Acute Coronary Syndromes: A Handbook for Clinical Practice

by Editor: Michael Bertrand (University of Lille, France); Editor: Spencer B. King (Fuqua Heart Center of Piedmont Hospital, Atlanta, GA, USA)

• ISBN13: 9781405171380
• ISBN10: 1405171383
• Format: eBook
• Copyright: 2009-02-01
• Publisher: Wiley-Blackwell

Summary

The management of non-ST segment elevation acute coronary syndromes (NSTE-ACS) has rapidly evolved over the last few years and many guidelines have been provided and already updated. This book is based on the latest ESC Guidelines and reports the current knowledge in NSTE-ACS, together with the most recent therapeutic options and the different strategies that can be applied according to the clinical status of patients.International experts address the different aspects of NSTE-ACS and bring useful information to clinicians, interventionalists and surgeons involved in the difficult management of these patients.The ESC Education Series This book is part of the ESC Education Series. The series is designed to provide medical professionals with the latest information about the understanding, diagnosis and management of cardiovascular diseases. Where available, management recommendations are based on the established European Guidelines, which encompass the best techniques to use with each cardiac disease. Throughout the series, the leading international opinion leaders have been chosen to edit and contribute to the books. The information is presented in a succinct and accessible format with a clinical focus.

Table of Contents

List of Contributors

Preface

Epidemiology

Epidemiology of non-ST-segment elevation acute coronary syndromes

Pathophysiology

Pathologic findings in acute coronary syndromes

Vascular biology of acute coronary syndromes

Clinical aspects of ACS

Clinical aspects of acute coronary syndromes

Circulating biomarkers for risk stratification

Investigation in ACS

Coronary angiography, angioscopy, and intravascular ultrasound in non-ST segment elevation acute coronary syndromes

New coronary imaging in acute coronary syndrome

Special groups of patients

Acute coronary syndromes in special groups of patients

Pharmacological treatment

Antiischemic treatment (nitrates, ?-blockers, calcium antagonists)

Antiplatelet therapies: aspirin, thienopyridines, and glycoprotein IIb/IIIa receptor inhibitors

Antithrombin drugs: LMWH, unfractionated heparin, direct thrombin inhibitors

Statin therapy in ACS

Myocardial revascularization

Percutaneouscoronary interventionsand stenting/CABG in non-ST-segment elevation acute coronary syndromes

Therapeutic strategy

Risk stratification and therapeutic strategy

Indication for revascularization in non-ST-elevation acute coronary syndrome

Management of patientswith nonamenable lesions for myocardial revascularization

Non-ST-segment elevation coronary syndromes: European Society of Cardiology guidelines

Non-ST-segment elevation acute coronary syndromes: ACC/AHA guidelines

From guidelines to registries

Secondary prevention

Secondary prevention after acute episode of patients presenting with nonpersistent ST-segment elevation

How to detect vulnerable plaque

Local versus systemic prevention treatment

Conclusions

Index

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