By Diana Holdright, Hugh Montgomery
(BMJ Books) UCL Hospitals, London, united kingdom. greater than a hundred questions are replied by way of top cardiologists. useful advisor to administration of advanced occasions. For practitioners and citizens. Softcover.
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Thereafter, the event rate was consistently lower in the invasive group. Invasive treatment provided the greatest advantages in older patients, men, patients with a longer duration of angina, chest pain at rest and ST segment depression. The favourable results of FRISC II reflect not only modern revascularisation technologies but probably also the intended delay prior to angiography and intervention. Patients in the invasive arm were initially stabilised medically, with the aim to perform all invasive procedures within seven days.
G. to anaemia) and post-infarction). 1 The in-hospital AMI/death rate was markedly raised in patients with post-infarct angina (46%) compared with patients with “primary” unstable angina. The event rate is highest at and shortly following presentation, falling off rapidly in the first few months to a level similar to stable angina patients after one year. Patients with new onset angina have a better prognosis than those with acceleration of previously stable angina or patients with rest pain. Patients with accelerated or crescendo angina have an in-hospital mortality of 2-8% and a 1 year survival of 90%.
4 Thrombolytics are of no proven benefit and should be avoided. References 97: 1. Theroux P, Fuster V. Acute coronary syndromes. Circulation 1998;9 1195–206. 2. National Institute for Clinical Excellence. Guidance on the use of glycoprotein IIb/IIIa inhibitors in the treatment of acute coronary syndromes. Technology Appraisal Guidance-No. 12, September 2000. uk) 3 Oler A, Whooley MA, Oler J. Grady D. Adding heparin to aspirin reduces the incidence of myocardial infarction and death in patients 276: 811–15.
100 Questions in Cardiology by Diana Holdright, Hugh Montgomery