کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
5622270 1406169 2017 9 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Time-honored treatments for the initial management of acute coronary syndromes: Challenging the status quo
ترجمه فارسی عنوان
درمان های مداوم برای مدیریت اولیه سندرم های حاد کرونری: چالش بر وضعیت موجود
کلمات کلیدی
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی کاردیولوژی و پزشکی قلب و عروق
چکیده انگلیسی

Morphine, oxygen, and nitrates are time-honored therapies for the initial management of acute coronary syndrome (ACS). The traditional goal of these agents in ACS has been to (1) relieve symptoms, (2) prevent infarction or limit its size, and (3) improve outcomes, both acutely and during follow-up. Despite their ongoing use in routine ACS care, nitrates, morphine, and oxygen have no evidence of clinical outcomes benefit from randomized trials. Furthermore, emerging data have recently suggested that, in certain situations, morphine and oxygen may actually be associated with harm in the setting of ACS. In this review article, we thoroughly examine updated evidence for each of these acute-phase ACS agents with respect to their individual risks and benefits. We review guideline recommendations for these therapies and outline future directions for their use in clinical practice.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Trends in Cardiovascular Medicine - Volume 27, Issue 7, October 2017, Pages 483-491
نویسندگان
, , , , , , , , , , , , ,