Clinical and angiographic risk stratification of patients with acute coronary syndrome without ST elevation
Journal Title: Postępy Nauk Medycznych - Year 2010, Vol 23, Issue 12
Abstract
The risk assessment of patients with acute coronary syndrome without ST segment elevation (NSTE ACS) is recommended by the European Society of Cardiology (ESC) aimed at selection of the best treatment, including invasive strategy. Among many systems of risk assessment of patients with ACS two are particularly recommended: the TIMI and GRACE risk scores. Both systems are based on clinical data and may be obtained after collecting the interview and physical examination on admission to the hospital. The purpose of this assessment is the classification of the patients before treatment to high, moderate or low risk group, which should have therapeutic implications. Risk scores include clinical and laboratory but not angiographic data.Angiography provides information on the character of coronary lesion and the advance of atherosclerotic changes. They have prognostic significance regarding a success of endovascular procedure and long term survival. It is postulated to elaborate and implement more advanced risk assessment in ACS including angiographic and laboratory parameters.
Authors and Affiliations
Paweł Maciejewski, Andrzej Budaj
Keywords
Related Articles
- EP ID EP53813
- DOI -
- Views 202
- Downloads 0
Genetyka kliniczna raka płuc
Każdego roku na świecie na raka płuc umiera ponad 1 milion ludzi. Poza paleniem tytoniu i innymi środowiskowymi czynnikami rakotwórczymi, wśród czynników odpowiedzialnych za wystąpienie choroby wymienia się zmiany DNA. C...
The role of vitamin D in chronic viral hepatitis
Previously thought to influence mostly calcium and phosphate homeostasis, vitamin D turns out to affect a variety of other functions in human body. Its deficiency may observed in the cardiovascular, autoimmune and metabo...
Peripheral artery disease – current recommendations and best medical treatment
Peripheral arterial disease (PAD) is a common manifestation of systemic atherosclerosis that is associated with a high risk of cardiovascular mortality and significant limitation in function because of limb ischemia. Pat...
Gene therapy of amyotrophic lateral sclerosis
Amyotrophic lateral sclerosis (ALS) is a fatal neurodegenerative disorder affecting nearly half a million people worldwide. Approximately 35% of familial and 10% of sporadic cases are due to mutations in genes encoding f...
Zwężenie tętnicy nerki przeszczepionej jako przyczyna nadciśnienia tętniczego po przeszczepieniu nerki
Nadciśnienie tętnicze występuje u większości pacjentów po przeszczepieniu nerki. Etiologia nadciśnienia tętniczego w tej grupie pacjentów jest zwykle złożona, a w różnicowaniu jego przyczyn zawsze należy uwzględnić zwęże...