Avtor/Urednik     Gurfinkel, Enrique P
Naslov     Antithrombotic therapy in acute coronary syndromes
Tip     članek
Vir     In: Štiblar-Martinčič D, Petrovič D, editors. Cardiovascular diseases. Proceedings of the 32nd memorial meeting devoted to professor Janez Plečnik, International symposium in memory of professor Rene Favaloro; 2001 Dec 6-8; Ljubljana. Ljubljana: Medical faculty,
Leto izdaje     2001
Obseg     str. 167-71
Jezik     eng
Abstrakt     The classification of unstable angina has, until now, been based on simple clinical descriptors, such as whether the ischaemic pain is on exertion and accelerating, or whether it occurs at rest, and whether or not ischaemia persists despite vigourous anti-ischaemic therapy. The ECG, particularly the presence or absence of changes in the ST segment, has also been useful as a classification tool. In addition, markers of myocardial damage, such as the cardiacspecific troponins -T or -I are being used increasingly in the classification of these patients. Such clinical and laboratory descriptors are valuable in predicting prognosis, but they provide little or no information about the aetiology of unstable angina. Such information is important because it allows specific rather than empiric management. Defining the aetiology of unstable angina is likely to become as important in selecting management options in the future as determining the severity and estimating the prognosis are at present. Methods to define the aetiology of unstable angina in individual patients are becoming more widely available. Accurate determination of the cause of this syndrome will allow individualized treatment which may be expected to improve clinical outcome.
Deskriptorji     CORONARY DISEASE
FIBRINOLYTIC AGENTS
ANGINA, UNSTABLE
ELECTROCARDIOGRAPHY
BIOLOGICAL MARKERS
PROGNOSIS
TROPONIN
C-REACTIVE PROTEIN
ANTITHROMBINS