Medical management of acute coronary syndromes

Nicole Ciffone, Betsy B Dokken

Research output: Contribution to journalReview article

1 Citation (Scopus)

Abstract

Background: Recent updates to clinical guidelines and pharmacological indications have added to the complexity of acute coronary syndrome (ACS) management. Advanced practice nurses working with ACS patients need clear and up-to-date information to optimize patient care. Purpose: To provide a practical overview of the management of ACS from patient presentation through to long-term secondary prevention based on recent guidelines and randomized controlled trials, with particular emphasis on medical management. Methods: Systematically reviewed recent studies and guidelines published 2011–2015 using PubMed search terms including “ACS management,” “ACS hospital care,” and “ACS secondary prevention.”. Conclusions: The last decade has seen an increase in the number of antithrombotic (anticoagulant and antiplatelet) agents and an expansion of their licensed indications for treatment of ACS patients. Future trials will help identify which subgroups of patients will gain the greatest benefit from more intense antithrombotic therapy. Implications for practice: Management of ACS is dependent on individual patient characteristics and risk stratification. Greater choice among therapies available for acute and long-term management will help to achieve optimal, patient-tailored care.

Original languageEnglish (US)
Pages (from-to)224-235
Number of pages12
JournalJournal of the American Association of Nurse Practitioners
Volume29
Issue number4
DOIs
StatePublished - Apr 1 2017
Externally publishedYes

Fingerprint

Acute Coronary Syndrome
Guidelines
Secondary Prevention
Patient Care
Platelet Aggregation Inhibitors
Practice Management
PubMed
Anticoagulants
Therapeutics
Randomized Controlled Trials
Nurses
Pharmacology

Keywords

  • acute coronary syndrome
  • advanced practice nurse
  • Coronary artery disease
  • disease management
  • nurse practitioner
  • secondary prevention

ASJC Scopus subject areas

  • Nursing(all)

Cite this

Medical management of acute coronary syndromes. / Ciffone, Nicole; Dokken, Betsy B.

In: Journal of the American Association of Nurse Practitioners, Vol. 29, No. 4, 01.04.2017, p. 224-235.

Research output: Contribution to journalReview article

@article{5fd07c0fe1454bc196a2d2a3e82715aa,
title = "Medical management of acute coronary syndromes",
abstract = "Background: Recent updates to clinical guidelines and pharmacological indications have added to the complexity of acute coronary syndrome (ACS) management. Advanced practice nurses working with ACS patients need clear and up-to-date information to optimize patient care. Purpose: To provide a practical overview of the management of ACS from patient presentation through to long-term secondary prevention based on recent guidelines and randomized controlled trials, with particular emphasis on medical management. Methods: Systematically reviewed recent studies and guidelines published 2011–2015 using PubMed search terms including “ACS management,” “ACS hospital care,” and “ACS secondary prevention.”. Conclusions: The last decade has seen an increase in the number of antithrombotic (anticoagulant and antiplatelet) agents and an expansion of their licensed indications for treatment of ACS patients. Future trials will help identify which subgroups of patients will gain the greatest benefit from more intense antithrombotic therapy. Implications for practice: Management of ACS is dependent on individual patient characteristics and risk stratification. Greater choice among therapies available for acute and long-term management will help to achieve optimal, patient-tailored care.",
keywords = "acute coronary syndrome, advanced practice nurse, Coronary artery disease, disease management, nurse practitioner, secondary prevention",
author = "Nicole Ciffone and Dokken, {Betsy B}",
year = "2017",
month = "4",
day = "1",
doi = "10.1002/2327-6924.12457",
language = "English (US)",
volume = "29",
pages = "224--235",
journal = "Journal of the American Association of Nurse Practitioners",
issn = "2327-6886",
publisher = "John Wiley and Sons Ltd",
number = "4",

}

TY - JOUR

T1 - Medical management of acute coronary syndromes

AU - Ciffone, Nicole

AU - Dokken, Betsy B

PY - 2017/4/1

Y1 - 2017/4/1

N2 - Background: Recent updates to clinical guidelines and pharmacological indications have added to the complexity of acute coronary syndrome (ACS) management. Advanced practice nurses working with ACS patients need clear and up-to-date information to optimize patient care. Purpose: To provide a practical overview of the management of ACS from patient presentation through to long-term secondary prevention based on recent guidelines and randomized controlled trials, with particular emphasis on medical management. Methods: Systematically reviewed recent studies and guidelines published 2011–2015 using PubMed search terms including “ACS management,” “ACS hospital care,” and “ACS secondary prevention.”. Conclusions: The last decade has seen an increase in the number of antithrombotic (anticoagulant and antiplatelet) agents and an expansion of their licensed indications for treatment of ACS patients. Future trials will help identify which subgroups of patients will gain the greatest benefit from more intense antithrombotic therapy. Implications for practice: Management of ACS is dependent on individual patient characteristics and risk stratification. Greater choice among therapies available for acute and long-term management will help to achieve optimal, patient-tailored care.

AB - Background: Recent updates to clinical guidelines and pharmacological indications have added to the complexity of acute coronary syndrome (ACS) management. Advanced practice nurses working with ACS patients need clear and up-to-date information to optimize patient care. Purpose: To provide a practical overview of the management of ACS from patient presentation through to long-term secondary prevention based on recent guidelines and randomized controlled trials, with particular emphasis on medical management. Methods: Systematically reviewed recent studies and guidelines published 2011–2015 using PubMed search terms including “ACS management,” “ACS hospital care,” and “ACS secondary prevention.”. Conclusions: The last decade has seen an increase in the number of antithrombotic (anticoagulant and antiplatelet) agents and an expansion of their licensed indications for treatment of ACS patients. Future trials will help identify which subgroups of patients will gain the greatest benefit from more intense antithrombotic therapy. Implications for practice: Management of ACS is dependent on individual patient characteristics and risk stratification. Greater choice among therapies available for acute and long-term management will help to achieve optimal, patient-tailored care.

KW - acute coronary syndrome

KW - advanced practice nurse

KW - Coronary artery disease

KW - disease management

KW - nurse practitioner

KW - secondary prevention

UR - http://www.scopus.com/inward/record.url?scp=85017242858&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85017242858&partnerID=8YFLogxK

U2 - 10.1002/2327-6924.12457

DO - 10.1002/2327-6924.12457

M3 - Review article

C2 - 28394469

AN - SCOPUS:85017242858

VL - 29

SP - 224

EP - 235

JO - Journal of the American Association of Nurse Practitioners

JF - Journal of the American Association of Nurse Practitioners

SN - 2327-6886

IS - 4

ER -