Part 10: Acute coronary syndromes: 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care

Robert E. O'Connor, William Brady, Steven C. Brooks, Deborah Diercks, Jonathan Egan, Chris Ghaemmaghami, Venu Menon, Brian J. O'Neil, Andrew H. Travers, Demetris Yannopoulos

Research output: Contribution to journalReview article

199 Scopus citations

Abstract

There has been tremendous progress in reducing disability and death from ACS. But many patients still die before reaching the hospital because patients and family members fail to recognize the signs of ACS and fail to activate the EMS system. Once the patient with ACS contacts the healthcare system, providers must focus on support of cardiorespiratory function, rapid transport, and early classification of the patient based on ECG characteristics. Patients with STEMI require prompt reperfusion; the shorter the interval from symptom onset to reperfusion, the greater the benefit. In the STEMI population, mechanical reperfusion with percutaenous coronary intervention improves survival and decreases major cardiovascular events compared to fibrinolysis. Patients with UA/NSTEMI (non-STEMI ACS) or nonspecific or normal ECGs require risk stratification and appropriate monitoring and therapy. Healthcare providers can improve survival rates and myocardial function of patients with ACS by providing skilled, efficient, and coordinated out-ofhospital and in-hospital care.

Original languageEnglish (US)
Pages (from-to)S787-S817
JournalCirculation
Volume122
Issue numberSUPPL. 3
DOIs
StatePublished - Nov 2 2010

Keywords

  • acute coronary syndrome
  • myocardial infarction
  • non-STsegmentelevation acute coronary syndromes

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Physiology (medical)

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    O'Connor, R. E., Brady, W., Brooks, S. C., Diercks, D., Egan, J., Ghaemmaghami, C., Menon, V., O'Neil, B. J., Travers, A. H., & Yannopoulos, D. (2010). Part 10: Acute coronary syndromes: 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation, 122(SUPPL. 3), S787-S817. https://doi.org/10.1161/CIRCULATIONAHA.110.971028