Coronary Artery Disease/Coronary Heart Disease

Feb 15, 2017 Issue
Acute Coronary Syndrome: Current Treatment [Article]

Management of acute myocardial infarction begins with antiplatelet therapy and anticoagulation therapy, among other medications as appropriate. Learn which reperfusion strategies are recommended for patients with ST elevation myocardial infarction and non–ST elevation acute coronary syndrome.

Feb 1, 2017 Issue
Acute Coronary Syndrome: Diagnostic Evaluation [Article]

Although chest pain is common with myocardial infarction, there are many noncardiac causes of chest pain. A diagnosis may not be possible based on initial presentation alone. The initial assessment includes evaluation of risk factors and presenting signs and symptoms, rapid electrocardiography, and serum cardiac troponin measurements.

Jul 1, 2016 Issue
Cardiac Rehabilitation: Improving Function and Reducing Risk [Article]

Review the components of this multidisciplinary program that improves daily function and reduces mortality risk in persons with cardiovascular disease.

Dec 1, 2015 Issue
CCTA and Radionuclide Stress Testing Similar for Evaluation of Chest Pain [POEMs]

For the evaluation of chest pain in intermediate-risk patients, CCTA is comparable with myocardial perfusion imaging in its ability to select patients for invasive management. Both modalities are also similar when it comes to downstream resource use and adverse cardiovascular events. CCTA is associated with less radiation exposure.

Aug 15, 2015 Issue
Vorapaxar (Zontivity) for the Prevention of Thrombotic Cardiovascular Events [STEPS]

Vorapaxar should be limited to select patients with a history of MI or peripheral arterial disease who desire additional treatment for the prevention of MI.

Jul 15, 2015 Issue
Management of Non-ST Elevation Acute Coronary Syndrome: A Guideline from the AHA and ACC [Practice Guidelines]

Acute coronary syndrome (ACS), a term that encompasses a range of conditions, is caused when blood flow to the heart is suddenly reduced. The American College of Cardiology (ACC), with the American Heart Association (AHA), has provided recommendations for managing non–ST elevation ACS.

Apr 15, 2015 Issue
No Benefit to Screening with CTA for Asymptomatic CAD in Adults with Diabetes [POEMs]

Using coronary CTA to screen for CAD in adults with type 1 or type 2 diabetes and no indication of existing CAD does not improve outcomes more than standard care.

Dec 15, 2013 Issue
Ticagrelor (Brilinta) for Secondary Prevention of Thrombotic Events Following Acute Coronary Syndrome [STEPS]

Ticagrelor is an alternative to clopidogrel for secondary prevention of cardiovascular death in patients with acute coronary syndrome. In an international study it was found to be more effective, but patients in the United States did not experience superior outcomes.

Nov 1, 2013 Issue
Myocardial Infarction: Management of the Subacute Period [Article]

Optimal management of myocardial infarction in the subacute period focuses on improving the discharge planning process, implementing therapies early to prevent recurrent myocardial infarction, and avoiding hospital readmission. Evidence-based guidelines for the care of patients with acute coronary s...

Mar 1, 2013 Issue
Beta Blockers Not Associated with Lower Morbidity/Mortality in Adults with CAD or CAD Risk Factors [POEMs]

Beta-blocker therapy was not associated with a reduced risk of adverse cardiovascular events in adults with a prior MI, known CAD without prior MI, or three or more known risk factors for CAD.

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