Acute Coronary Syndrome

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Pravastatin Or atorVastatin Evaluation and Infection Therapy–Thrombolysis Thrombolysis In Myocardial Infarction 22 (PROVE-IT TIMI 22) • 4,162 patients within 10 d of ACS •40 mg pravastatin vs 80 mg atorvastatin daily •↓ All-cause death, MI, UA requiring hosp, revasc & stroke @ 2 y by atorvastatin ― Median LDL-C ↓ (62 vs 95 mg/dL) Cannon CP, et al. N Engl J Med 2004;350:1495–504.
Blood Pressure Control I IIa IIb III New BP Levels Blood pressure control according to JNC 7 guidelines* is recommended (i.e., BP < 140/90 mm Hg or < 130/80 mm Hg if the patient has diabetes mellitus or chronic kidney disease). *Chobanian AV, et al. JAMA 2003;289:2560-2572. JNC 7 = 7 th report of the Joint National Committee on Prevention, Detection, Evaluation and Treatment of High Blood Pressure.
Page 1: Acute Coronary Syndrome: Thoughts o
Page 4 and 5: Case 1 • Exam: • 142/74, HR 88,
Page 6 and 7: Case 1 • Arrival to ED: • ECG
Page 8: Case 1 • Decision made to pursue
Page 12: Evidence Based Data
Page 15 and 16: Variables Used in the TIMI Risk Sco
Page 17 and 18: I IIa IIb III Updated Guidelines Cl
Page 19 and 20: Initial Chest Pain Evaluation Sympt
Page 24 and 25: Lipid Management I IIa IIb III I I
Page 28 and 29: Diabetes Mellitus I I I IIa IIb III
Page 30 and 31: Weight Management I IIa IIb III New
Page 32 and 33: Depression I IIa IIb III It is reas
Page 34 and 35: Early Risk Stratification I IIa IIb
Page 36 and 37: Timing of Release of Various Biomar
Page 38 and 39: Immediate Management I IIa IIb III
Page 40 and 41: Anti-Ischemic Therapy I IIa IIb III
Page 42 and 43: Antiplatelet Therapy I IIa IIb III
Page 44 and 45: Initial Conservative Versus Initial
Page 50 and 51: I IIa IIb III Hospital Care Conserv
Page 52 and 53: Risk Factor Modification I IIa IIb

Acute Coronary Syndrome

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