Stabilizing the care of unstable angina

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Unstable angina: the breakthrough

It is widely perceived that unstable angina is a critical phase of coronary heart disease. The risk of acute myocardial infarction or death in these patients is high: up to 5% during hospitalization, 20% within 30 days, and 25% in 6 months. Medical and invasive treatment options for these patients have been rather discouraging, with two reasons responsible for this unsatisfactory state: first, ...

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Unstable angina.

Unstable angina has only been recognized as a distinct entity for about 50 years. The term is used to describe a symptom complex that is neither stable angina pectoris nor acute myocardial infarction. There are a number of other terms used to describe essentially the same symptom complex; these include pre-infarction angina, crescendo angina, intermediate coronary syndrome and threatening infar...

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Unstable Angina

Identification of a characteristic morphology of a coronary stenosis likely to result in myocardial infarction would facilitate the prospective evaluation of infarct prevention strategies and identification of high-risk patients. We postulated that coronary lesions associated with recent myocardial infarction or unstable angina would have an angiographic morphology suggesting disruption of an a...

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UNSTABLE ANGINA Coronary angioplasty for early postinfarction unstable angina

Coronary angioplasty was performed in 53 patients in whom unstable angina had reoccurred after 48 hr and within 30 days after sustained myocardial infarction. Single-vessel disease was present in 64% of the patients and multivessel disease in 36%. The preceding myocardial infarction had been small to moderate in size in the majority of the patients. The left ventricular ejection fraction was mo...

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Association of unstable angina guideline care with improved survival.

BACKGROUND An unstable angina guideline was published in 1994 by the Agency for Health Care Policy and Research, Bethesda, Md. However, the relationship between guideline-concordant care and patient outcomes is unknown. OBJECTIVE To determine whether guideline-concordant care is associated with improved outcomes. METHODS The study sample consisted of 275 consecutive nonreferral patients hos...

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ژورنال

عنوان ژورنال: Journal of the American College of Cardiology

سال: 1995

ISSN: 0735-1097

DOI: 10.1016/0735-1097(95)00273-7