• J. Cardiothorac. Vasc. Anesth. · Aug 2022

    Review

    2021 Update for the Diagnosis and Management of Acute Coronary Syndromes for the Perioperative Clinician.

    • Katherine J Kunkel, Alejandro Lemor, Shazil Mahmood, Pedro Villablanca, and Harish Ramakrishna.
    • Division of Cardiovascular Medicine, Henry Ford Hospital, Detroit, MI.
    • J. Cardiothorac. Vasc. Anesth. 2022 Aug 1; 36 (8 Pt A): 276727792767-2779.

    AbstractIn this review, recent key publications related to acute coronary syndrome (ACS) are summarized and placed into context of contemporary practice. Landmark trials examining vascular access in ST-elevation myocardial infarction, the management of multivessel disease, acute myocardial infarction and cardiac arrest are discussed. An update in pharmacology for ACS provides updates in major trials relating to P2Y12 inhibitor initiation, deescalation, and use in special populations. Additional updates in the use of lipid-lowering agents and adjunctive medications in ACS are reviewed. Finally, cardiac pathology related to coronavirus disease 2019 (COVID-19), as well as the impact of the COVID-19 global pandemic on the care of patients with ACS, is summarized.Copyright © 2021 Elsevier Inc. All rights reserved.

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