Clinical Perspectives and Pearls from the 2015 ESC NSTE-ACS Guidelines |
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| Authors: | Marco Roffi Baris Gencer Robert F. Storey Felicita Andreotti Carlo Patrono |
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| Affiliation: | 1.Division of Cardiology, Interventional Cardiology Unit,Geneva University Hospitals,Geneva 14,Switzerland;2.Department of Infection, Immunity and Cardiovascular Disease,University of Sheffield,Sheffield,UK;3.Institute of Cardiology,Catholic University School of Medicine,Rome,Italy;4.Institute of Pharmacology,Catholic University School of Medicine,Rome,Italy |
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| Abstract: | Four years after the latest edition, the 2015 non-ST-segment elevation acute coronary syndromes guidelines of the European Society of Cardiology have been published. Novel aspects include a new diagnostic algorithm for non-ST-segment elevation myocardial infarction using high-sensitivity cardiac troponins as well as guidance on cardiac rhythm monitoring duration. A large section is dedicated to antiplatelet therapy including initiation and duration of dual-antiplatelet therapy as well as the management of patients requiring, at the same time, long-term oral anticoagulation. New sections include the management of antiplatelet agent in patients requiring coronary artery bypass surgery and of acute bleeding events related to antiplatelet agents, vitamin K antagonist (VKA), and non-VKA oral anticoagulant drugs. Current evidence supports the radial access over the femoral one for coronary angiography and percutaneous revascularization. |
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