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[Elective percutaneous coronary intervention after acute coronary syndrome]. / Elektivna perkutana koronarna intervencija (PCI) nakon akutnog koronarnog sindroma.
Sebetic, Drazen; Raguz, Miroslav; Sakic, Ivana; Lazic, Jelenko; Puksic, Silva; Bergovec, Mijo.
Afiliação
  • Sebetic D; Cardiovascular Division, University Department of Medicine, Dubrava University Hospital, Zagreb, Croatia.
Acta Med Croatica ; 63(1): 63-5, 2009 Feb.
Article em Hr | MEDLINE | ID: mdl-19681465
Elective percutaneous coronary intervention (PCI) after acute coronary syndrome (ACS), according to guidelines issued by the European Society of Cardiology (ESC) and American Heart Association/American College of Cardiology (AHA/ACC), is a therapeutic method that is indicated in patients with ACS with ST segment elevation in case of persistent signs of myocardial ischemia and with significant stenosis of coronary artery verified by coronary angiography, suitable for PCI according to the guidelines. It is also indicated for non-culprit significant stenosis of other coronary arteries which have been seen during primary PCI for ST segment elevation myocardial infarction (STEMI). After non ST segment myocardial infarction (NSTEMI) or after non-ST elevation ACS, elective coronary artery angiography is indicated in low risk patients if they have positive signs of ischemia on noninvasive tests. Depending on the results of coronary angiography, elective PCI is indicated according to ESC or AHA/ACC guidelines. The method success is assessed at three levels, i.e. by angiography, clinically and periprocedurally. PCI enables earlier and more efficient resolution of symptoms, better effort tolerance and lower rate of residual ischemia on noninvasive tests.
Assuntos
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Angioplastia Coronária com Balão / Síndrome Coronariana Aguda Tipo de estudo: Diagnostic_studies / Guideline Limite: Humans Idioma: Hr Ano de publicação: 2009 Tipo de documento: Article
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Angioplastia Coronária com Balão / Síndrome Coronariana Aguda Tipo de estudo: Diagnostic_studies / Guideline Limite: Humans Idioma: Hr Ano de publicação: 2009 Tipo de documento: Article