2011 ACCF/AHA Focused Update of the Guidelines for the Management of Patients With Unstable Angina/Non-ST-Elevation Myocardial Infarction (Updating the 2007 Guideline): Highlights for the Clinician

• Type of Material: Article
• Authors: Nanette K Wenger, Emory University
• Language: English
• Date: 2012-01-01
• Publisher: Wiley Open Access: Various Creative Commons Licenses
• Publication Version: Final Published Version
• Copyright Statement: © 2011 Wiley Periodicals, Inc.
• Final Published Version (URL): http://dx.doi.org/10.1002/clc.20964
• Title of Journal or Parent Work: Clinical Cardiology
• ISSN: 0160-9289
• Volume: 35
• Issue: 1
• Start Page: 3
• End Page: 8
• Keywords: RENAL-FUNCTION; ASSOCIATION TASK-FORCE; ACUTE CORONARY SYNDROMES; ANGIOGRAPHY; Cardiovascular System & Cardiology; TREATED PATIENTS; CHRONIC KIDNEY-DISEASE; CLOPIDOGREL; AMERICAN-COLLEGE; ASPIRIN; Life Sciences & Biomedicine; Cardiac & Cardiovascular Systems; INTERVENTION; Science & Technology
• Research Categories: Health Sciences, Medicine and Surgery

Abstract

The 2011 Update to the Unstable Angina/Non-ST-Elevation Myocardial Infarction (UA/NSTEMI) Guideline is based in evolving data or expert opinion and incorporates information from late-breaking clinical trials presented at the 2008-2009 Scientific Sessions of the American College of Cardiology, the American Heart Association, and the European Society of Cardiology, among others, as well as selected data through April 2010. The 5 key issues highlighted in this summary are: (1) the timing of acute interventional therapy in non-ST-elevation myocardial infarction; (2) emphasis on the timing, duration, and application of dual and triple antiplatelet therapy; (3) specific recommendations for patients with diabetes mellitus; (4) the role and potential benefit of invasive therapy in patients with advanced renal dysfunction; and (5) issues of quality improvement for acute coronary syndromes.