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Review
. 2021 Oct 1;10(19):4574.
doi: 10.3390/jcm10194574.

Risk Stratification of Patients with Acute Coronary Syndrome

Affiliations
Review

Risk Stratification of Patients with Acute Coronary Syndrome

Dávid Bauer et al. J Clin Med. .

Abstract

Defining the risk factors affecting the prognosis of patients with acute coronary syndrome (ACS) has been a challenge. Many individual biomarkers and risk scores that predict outcomes during different periods following ACS have been proposed. This review evaluates known outcome predictors supported by clinical data in light of the development of new treatment strategies for ACS patients during the last three decades.

Keywords: acute coronary syndrome; percutaneous coronary intervention; prognosis; risk score; risk stratification.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
GISSI trial—fibrinolysis with streptokinase [69], GUSTO-I trial—fibrinolysis with alteplase (* same year benefit of PCI vs. streptokinase, 142 patients) [23,37], P2Y12—effectiveness of DAPT (Ticlopidine + Acetylsalicylic acid) over anticoagulation after PCI [70], PRAGUE study—benefit of transferring STE-ACS patient to PCI center [71], DES—drug eluting stents approved in Europe (1-year later in the USA) [72], GRACE—validated GRACE risk score [35], DES 2nd generation—higher efficacy everolimus eluting stent [73], Radial access—safer with less vascular complications vs. femoral access [74].

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