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Acute Coronary Syndromes Unstable Angina and Non-ST Elevation Myocardial Infarction

机译:急性冠脉综合征不稳定型心绞痛和非ST段抬高型心肌梗死

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摘要

Non-ST elevation acute coronary syndromes (NSTE-ACS) encompass the clinical entities of unstable angina and non-ST elevation myocardial infarction. Several advances have occurred over the past decade, including the emergence of new antiplatelet and antithrombotic therapies and novel treatment strategies, leading to marked improvements in mortality. However, there has also been an increased incidence in NSTE-ACS as a result of the use of high-sensitivity troponins and the increase in cardiovascular risk factors. This article provides a focused update on contemporary management strategies pertaining to antiplatelet, antithrombotic, and anti-ischemic therapies and to revascularization strategies in patients with ACS.
机译:非ST抬高的急性冠状动脉综合征(NSTE-ACS)涵盖不稳定型心绞痛和非ST抬高的心肌梗死的临床实体。在过去的十年中,已经取得了一些进展,包括出现了新的抗血小板和抗血栓形成疗法以及新颖的治疗策略,从而显着提高了死亡率。然而,由于使用高敏感性肌钙蛋白和心血管危险因素的增加,NSTE-ACS的发病率也有所增加。本文重点介绍了有关抗血小板,抗血栓形成和抗缺血疗法以及ACS患者血运重建策略的当代管理策略。

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