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Diagnosing and managing unstable angina: Quick reference guide for clinicians

Publication ,  Journal Article
Braunwald, E; Mark, DB; Jones, RH; Lytle, BW; McCaulay, KM; Mushlin, AI; Rose, GC; Smith, EE; Swain, JA; Topol, EJ; Willerson, JT
Published in: Journal of Geriatric Drug Therapy
August 28, 1995

This Quick Reference Guide for Clinicians contains recommendations on the care of patients with unstable angina based on a combination of evidence obtained through extensive literature reviews and consensus among members of a private-sector, expert panel. Principal conclusions include: - Many patients suspected of having unstable angina can be discharged home after adequate initial evaluation. - Further outpatient evaluation may be scheduled for up to 72 hours after initial presentation for patients with clinical symptoms of unstable angina judged at initial evaluation to be at low risk for complications. - Patients with acute ischemic heart disease judged to be at intermediate or high risk of complications should be hospitalized for careful monitoring of their clinical course. - Intravenous thrombolytic therapy should not be administered to patients without evidence of acute myocardial infarction. - Assessment of prognosis by noninvasive testing often aids selection of appropriate therapy. - Coronary angiography is appropriate for patients judged to be at high risk for cardiac complications or death based on their clinical course or results of noninvasive testing. - Coronary artery bypass surgery should be recommended for almost all patients with left main disease and many patients with three-vessel disease, especially those with left ventricular dysfunction. - The discharge care plan should include continued monitoring of symptoms; appropriate drug therapy, including aspirin; risk-factor modification; and counseling.

Duke Scholars

Published In

Journal of Geriatric Drug Therapy

DOI

ISSN

8756-4629

Publication Date

August 28, 1995

Volume

9

Issue

3

Start / End Page

5 / 34

Related Subject Headings

  • General & Internal Medicine
  • 3214 Pharmacology and pharmaceutical sciences
  • 1115 Pharmacology and Pharmaceutical Sciences
 

Citation

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Braunwald, E., Mark, D. B., Jones, R. H., Lytle, B. W., McCaulay, K. M., Mushlin, A. I., … Willerson, J. T. (1995). Diagnosing and managing unstable angina: Quick reference guide for clinicians. Journal of Geriatric Drug Therapy, 9(3), 5–34. https://doi.org/10.1300/J089v09n03_03
Braunwald, E., D. B. Mark, R. H. Jones, B. W. Lytle, K. M. McCaulay, A. I. Mushlin, G. C. Rose, et al. “Diagnosing and managing unstable angina: Quick reference guide for clinicians.” Journal of Geriatric Drug Therapy 9, no. 3 (August 28, 1995): 5–34. https://doi.org/10.1300/J089v09n03_03.
Braunwald E, Mark DB, Jones RH, Lytle BW, McCaulay KM, Mushlin AI, et al. Diagnosing and managing unstable angina: Quick reference guide for clinicians. Journal of Geriatric Drug Therapy. 1995 Aug 28;9(3):5–34.
Braunwald, E., et al. “Diagnosing and managing unstable angina: Quick reference guide for clinicians.” Journal of Geriatric Drug Therapy, vol. 9, no. 3, Aug. 1995, pp. 5–34. Scopus, doi:10.1300/J089v09n03_03.
Braunwald E, Mark DB, Jones RH, Lytle BW, McCaulay KM, Mushlin AI, Rose GC, Smith EE, Swain JA, Topol EJ, Willerson JT. Diagnosing and managing unstable angina: Quick reference guide for clinicians. Journal of Geriatric Drug Therapy. 1995 Aug 28;9(3):5–34.

Published In

Journal of Geriatric Drug Therapy

DOI

ISSN

8756-4629

Publication Date

August 28, 1995

Volume

9

Issue

3

Start / End Page

5 / 34

Related Subject Headings

  • General & Internal Medicine
  • 3214 Pharmacology and pharmaceutical sciences
  • 1115 Pharmacology and Pharmaceutical Sciences