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Case Reports
. 2001 May 1;164(9):1309-16.

New advances in the management of acute coronary syndromes: 1. Matching treatment to risk

D Fitchett  1 , S Goodman, A Langer
Affiliations
Case Reports

New advances in the management of acute coronary syndromes: 1. Matching treatment to risk

D Fitchett et al. CMAJ. .
No abstract available

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Figures

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Fig. 1: Diagnostic triage and management of patients presenting to the emergency department with chest pain and a clinical suspicion of an acute coronary syndrome (unstable angina or myocardial infarction). CCU = coronary care unit, GP IIb/IIIa = glycoprotein IIb/IIIa inhibitor, LMW = low-molecular-weight. Photo by: Christine Kenney
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Fig. 2: Six-month mortality among patients with an acute coronary syndrome, by electrocardiogram result at time of presentation. Although patients with ST-segment depression (ST↓) have a better early (5-day) survival than those with ST-segment elevation (ST↑), their long-term outlook is as bad, if not worse. In this study patients at lowest risk were those with T-wave inversion alone. [Adapted, with permission, from Savonitto et al, JAMA 1999;281:707-13. Copyrighted 1999, American Medical Assocation.]
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Fig. 3: Mortality in relation to cardiac troponin levels at time of randomization. Left: Troponin I, in TIMI IIIB study [adapted, with permission, from Antman et al, N Engl J Med 1996;335:1342-9]. Right: Troponin T, in GUSTO-IIa study [adapted, with permission, from Ohman et al, N Engl J Med 1996;335:1333-41].
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Fig. 4: Cumulative survival during the 360 days following acute coronary syndrome (ACS) with non-ST-segment elevation ACS in patients with refractory myocardial ischemia. [Adapted, with permission, from Armstrong et al, Circulation 1998;98:1860-8.]
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Fig. 5: Risk stratification of patients presenting with a non-ST-segment elevation acute coronary syndrome (ACS). Identification of high-, intermediate- and low-risk categories allows appropriate management choices. [Adapted, with permission, from Fitchett, Can J Cardiol 2000;16:1423-32.]
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