Part 10: acute coronary syndromes: 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care

There has been tremendous progress in reducing disability and death from ACS. But many patients still die before reaching the hospital because patients and family members fail to recognize the signs of ACS and fail to activate the EMS system. Once the patient with ACS contacts the healthcare system,...

Full description

Saved in:
Bibliographic Details
Published in:Circulation (New York, N.Y.) N.Y.), 2010-11, Vol.122 (18 Suppl 3), p.S787-S817
Main Authors: O'Connor, Robert E, Brady, William, Brooks, Steven C, Diercks, Deborah, Egan, Jonathan, Ghaemmaghami, Chris, Menon, Venu, O'Neil, Brian J, Travers, Andrew H, Yannopoulos, Demetris
Format: Article
Language:English
Subjects:
Acute Coronary Syndrome - diagnosis
Acute Coronary Syndrome - mortality
Acute Coronary Syndrome - therapy
American Heart Association
Cardiology - methods
Cardiology - standards
Cardiopulmonary Resuscitation - methods
Cardiopulmonary Resuscitation - standards
Emergency Medical Services - methods
Emergency Medical Services - standards
Humans
Practice Guidelines as Topic - standards
Time Factors
United States
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:There has been tremendous progress in reducing disability and death from ACS. But many patients still die before reaching the hospital because patients and family members fail to recognize the signs of ACS and fail to activate the EMS system. Once the patient with ACS contacts the healthcare system, providers must focus on support of cardiorespiratory function, rapid transport, and early classification of the patient based on ECG characteristics. Patients with STEMI require prompt reperfusion; the shorter the interval from symptom onset to reperfusion, the greater the benefit. In the STEMI population, mechanical reperfusion with percutaenous coronary intervention improves survival and decreases major cardiovascular events compared to fibrinolysis. Patients with UA/NSTEMI (non-STEMI ACS) or nonspecific or normal ECGs require risk stratification and appropriate monitoring and therapy. Healthcare providers can improve survival rates and myocardial function of patients with ACS by providing skilled, efficient, and coordinated out-of-hospital and in-hospital care.
ISSN:0009-7322
1524-4539
DOI:10.1161/CIRCULATIONAHA.110.971028