ESC-Leitlinien 2015

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• 作者：A. Jobs ; Prof. Dr. med. H. Thiele
• 关键词：Myokardinfarkt ; NSTE ; ACS ; NSTEMI ; Instabile Angina pectoris ; Leitlinien ; Myocardial infarction ; NSTE ; ACS ; NSTEMI ; Unstable Angina pectoris ; Guidelines
• 刊名：Herz
• 出版年：2015
• 出版时间：December 2015
• 年：2015
• 卷：40
• 期：8
• 页码：1027-1033
• 全文大小：574 KB
• 参考文献：1.Thygesen K, Alpert JS, Jaffe AS, Simoons ML et al (2012) Third universal definition of myocardial infarction. Eur Heart J 33(20):2551鈥?567CrossRef PubMed
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• 作者单位：A. Jobs (1)
  Prof. Dr. med. H. Thiele (1)
  
  1. Medizinische Klinik II (Kardiologie/Angiologie/Intensivmedizin), Universit盲res Herzzentrum L眉beck, Ratzeburger Allee 160, 23538, L眉beck, Deutschland
  
• 刊物类别：Medicine
• 刊物主题：Medicine & Public Health
  Cardiology
  
• 出版者：Urban & Vogel
• ISSN：1615-6692

文摘

In August 2015 the European Society of Cardiology (ESC) published new guidelines for the management of acute coronary syndrome in patients presenting without persistent ST-segment elevation, which incorporate the scientific progress since 2011. The innovation with probably the most impact on the clinical practice is the introduction of 0 h/1 h protocols for exclusion or inclusion of myocardial infarction without ST-segment elevation. These 0 h/1 h protocols are equally recommended to the established 0 h/3 h protocol. For these protocols blood is drawn on admission and 1 h later and the troponin level is analyzed by means of highly sensitive troponin assays. Troponin cut-off values were validated in several large studies, therefore, now facilitating a faster exclusion of myocardial infarction with an equal negative predictive value to 3 h protocols. Additionally, access via the radial artery is recommended over a femoral artery access for coronary angiography and when necessary the subsequent coronary intervention. Other novel aspects apply to the anti-ischemic and anti-thrombotic medication. Keywords Myocardial infarction NSTE-ACS NSTEMI Unstable Angina pectoris Guidelines