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| 1. |
A Practical Guide to Understanding the 2002 ACC/AHA Guidelines for the Management of Patients With Non‐ST Segment Elevation Acute Coronary Syndromes |
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Critical Pathways in Cardiology: A Journal of Evidence-Based Medicine,
Volume 1,
Issue 3,
2002,
Page 129-149
Matthew Roe,
Karen Staman,
Charles Pollack,
Rebecca Teaff,
Patricia French,
Eric Peterson,
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ISSN:1535-282X
出版商:OVID
年代:2002
数据来源: OVID
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| 2. |
Assessing the Effect of Publication of Clinical Guidelines on the Management of Unstable Angina and Non‐ST Elevation Myocardial Infarction in The TIMI III (1990‐1993) and the GUARANTEE (1995‐1996) Registries |
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Critical Pathways in Cardiology: A Journal of Evidence-Based Medicine,
Volume 1,
Issue 3,
2002,
Page 150-158
Benjamin Scirica,
Christopher Cannon,
Michael Gibson,
Sabina Murphy,
David Moliterno,
Vernon Anderson,
Frank Aguirre,
Christopher Granger,
Costas Lambrew,
LeRoy Rabbani,
Shelly Sapp,
Joan Booth,
James Ferguson,
Eugene Braunwald,
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摘要:
Background:The clinical guidelines for unstable angina (UA) and non‐ST elevation myocardial infarction (NSTEMI) published in 1994 by the Agency for Health Care Policy Research (AHCPR) were intended to help improve treatment. No large study, however, has evaluated the effect of the guidelines on clinical practiceMethods:We compared the treatment of 3,318 patients admitted with UA/NSTEMI in the preguideline Thrombolysis in Myocardial Infarction (TIMI) III Registry (1990‐1993) and 2,948 patients enrolled in the postguideline Global Unstable Angina Registry and Treatment Evaluation (GUARANTEE) Registry (1995‐1996).Results:More patients in GUARANTEE received guidelinerecommended medication than did those in TIMI III, specifically beta‐blockers (50.9% vs. 40.7%,P< 0.001), heparin (63.3% versus 57.5%,P< 0.001), and the combination of aspirin, heparin, and beta‐blockers on admission plus aspirin at discharge (26.9% vs. 18.8%,P< 0.001). These changes were similar in all subgroups, but the greatest improvement in medication use was seen in patients admitted to a tertiary care hospital and in those with a final diagnosis of NSTEMI, i.e., with positive cardiac markers. Conversely, fewer patients in GUARANTEE who fulfilled AHCPR criteria for catheterization underwent the procedure (62.3% in GUARANTEE tertiary centers vs. 44.6% in GUARANTEE nontertiary centers vs. 66.0% in TIMI,P< 0.001).Conclusion:After publication of clinical guidelines for UA/NSTEMI, more patients received appropriate pharmacologic treatment, but a significant number of patients remained under‐treated. Efforts to improve compliance with guideline recommendations via education and critical pathways are warranted, especially in nontertiary care settings.
ISSN:1535-282X
出版商:OVID
年代:2002
数据来源: OVID
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| 3. |
Use of Intraaortic Balloon Counterpulsation in Patients With Acute Myocardial Infarction Who Present to Community Hospitals |
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Critical Pathways in Cardiology: A Journal of Evidence-Based Medicine,
Volume 1,
Issue 3,
2002,
Page 159-179
Nancy McNamara,
Thomas Wharton,
Tom Rochelle,
Dana Deboard,
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PDF (1668KB)
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ISSN:1535-282X
出版商:OVID
年代:2002
数据来源: OVID
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| 4. |
Low Molecular Weight Heparin Use in Percutaneous Coronary Intervention |
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Critical Pathways in Cardiology: A Journal of Evidence-Based Medicine,
Volume 1,
Issue 3,
2002,
Page 180-183
Rémi Choussat,
Jean Collet,
Miles Dalby,
Gilles Montalescot,
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PDF (208KB)
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ISSN:1535-282X
出版商:OVID
年代:2002
数据来源: OVID
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| 5. |
Critical PathwaysHypertension |
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Critical Pathways in Cardiology: A Journal of Evidence-Based Medicine,
Volume 1,
Issue 3,
2002,
Page 184-193
Paul Conlin,
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PDF (395KB)
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ISSN:1535-282X
出版商:OVID
年代:2002
数据来源: OVID
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| 6. |
Prodromal Symptom Recognition of a Heart AttackAn Overlooked Phenomenon for Recognizing a Window of Opportunity for Early Heart Attack Care |
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Critical Pathways in Cardiology: A Journal of Evidence-Based Medicine,
Volume 1,
Issue 3,
2002,
Page 194-205
Raymond Bahr,
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PDF (2485KB)
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ISSN:1535-282X
出版商:OVID
年代:2002
数据来源: OVID
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| 7. |
Early Heart Attack Warning Signs |
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Critical Pathways in Cardiology: A Journal of Evidence-Based Medicine,
Volume 1,
Issue 3,
2002,
Page 207-208
Raymond Bahr,
Mary Hand,
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ISSN:1535-282X
出版商:OVID
年代:2002
数据来源: OVID
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