This functional publication offers a finished evaluation of the epidemiology and medical presentation of acute coronary syndromes (ACS). It additionally courses the reader via possibility evaluation, hazard stratification, prognosis, and remedy of ACS.
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Extra resources for Acute Coronary Syndromes in Clinical Practice
75–162 mg/day) should be used long term to minimize bleeding complications. New guidelines recommend aspirin 162–325 mg/day among patients who receive a coronary stent (3 months for a sirolimus stent and 6 months for a paclitaxel stent), then decrease to 75–162 mg/day [4,6]. The use of ibuprofen is discouraged due to an interaction with aspirin; however, if this medicine is used it should be given at least 8 hours before or 30 minutes after the administration of aspirin . Reproduced with permission from Peters et al.
5) . This efficacy was partially offset by increased major and life-threatening bleeding. The investigators identified three variables that produced increased bleeding with prasugrel: • age >75 years; • weight >60 kg; • a history of transient ischemic attack or cerebrovascular accident. Among patients without any of these variables, there was increased efficacy without additional major bleeding with prasugrel. Therefore, a patient's ischemic and bleeding risks will need to be assessed prior to administration of prasugrel .
This process begins at the moment of initial medical contact, proceeds throughout hospitalization and continues thereafter. The process of risk stratification channels intensive medical care to those who are most in need, while reserving more conservative therapy for patients at lower risk. This process is essential since intensive medical care can produce its own side effects. Such side effects may be acceptable in patients at highest risk, although in lower risk populations they will become unattractive.