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How can we optimize the processes of care for acute coronary syndromes to improve outcomes?

Publication ,  Journal Article
Wallentin, L; Kristensen, SD; Anderson, JL; Tubaro, M; Sendon, JLL; Granger, CB; Bode, C; Huber, K; Bates, ER; Valgimigli, M; Steg, PG; Ohman, EM
Published in: Am Heart J
November 2014

Acute coronary syndromes (ACS), either ST-elevation myocardial infarction or non-ST-elevation ACS, are still one of the most common cardiac emergencies with substantial morbidity and mortality. The availability of evidence-based treatments, such as early and intense platelet inhibition and anticoagulation, and timely reperfusion and revascularization, has substantially improved outcomes in patients with ACS. The implementation of streamlined processes of care for patients with ST-elevation myocardial infarction and non-ST-elevation ACS over the last decade including both appropriate tools, especially cardiac troponin, for rapid diagnosis and risk stratification and for decision support, and the widespread availability of modern antithrombotic and interventional treatments, have reduced morbidity and mortality to unprecedented low levels. These changes in the process of care require a synchronized approach, and research using a team-based strategy and effective regional networks has allowed healthcare systems to provide modern treatments for most patients with ACS. There are still areas needing improvement, such as the delivery of care to people in rural areas or with delayed time to treatment.

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Published In

Am Heart J

DOI

EISSN

1097-6744

Publication Date

November 2014

Volume

168

Issue

5

Start / End Page

622 / 631

Location

United States

Related Subject Headings

  • Time-to-Treatment
  • Rural Population
  • Quality Improvement
  • Platelet Aggregation Inhibitors
  • Myocardial Revascularization
  • Myocardial Infarction
  • Humans
  • Health Services Accessibility
  • Early Medical Intervention
  • Early Diagnosis
 

Citation

APA
Chicago
ICMJE
MLA
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Wallentin, L., Kristensen, S. D., Anderson, J. L., Tubaro, M., Sendon, J. L. L., Granger, C. B., … Ohman, E. M. (2014). How can we optimize the processes of care for acute coronary syndromes to improve outcomes? Am Heart J, 168(5), 622–631. https://doi.org/10.1016/j.ahj.2014.07.006
Wallentin, Lars, Steen Dalby Kristensen, Jeffrey L. Anderson, Marco Tubaro, José Luis Lopez Sendon, Christopher B. Granger, Christoph Bode, et al. “How can we optimize the processes of care for acute coronary syndromes to improve outcomes?Am Heart J 168, no. 5 (November 2014): 622–31. https://doi.org/10.1016/j.ahj.2014.07.006.
Wallentin L, Kristensen SD, Anderson JL, Tubaro M, Sendon JLL, Granger CB, et al. How can we optimize the processes of care for acute coronary syndromes to improve outcomes? Am Heart J. 2014 Nov;168(5):622–31.
Wallentin, Lars, et al. “How can we optimize the processes of care for acute coronary syndromes to improve outcomes?Am Heart J, vol. 168, no. 5, Nov. 2014, pp. 622–31. Pubmed, doi:10.1016/j.ahj.2014.07.006.
Wallentin L, Kristensen SD, Anderson JL, Tubaro M, Sendon JLL, Granger CB, Bode C, Huber K, Bates ER, Valgimigli M, Steg PG, Ohman EM. How can we optimize the processes of care for acute coronary syndromes to improve outcomes? Am Heart J. 2014 Nov;168(5):622–631.
Journal cover image

Published In

Am Heart J

DOI

EISSN

1097-6744

Publication Date

November 2014

Volume

168

Issue

5

Start / End Page

622 / 631

Location

United States

Related Subject Headings

  • Time-to-Treatment
  • Rural Population
  • Quality Improvement
  • Platelet Aggregation Inhibitors
  • Myocardial Revascularization
  • Myocardial Infarction
  • Humans
  • Health Services Accessibility
  • Early Medical Intervention
  • Early Diagnosis