Unstable angina / non ST elevation myocardial infarction post discharge follow-up: Difference between revisions

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#redirect:[[Unstable angina / non ST elevation myocardial infarction post-discharge follow-up]]
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==Overview of Post Discharge Follow-Up in UA / NSTEMI==
 
==ACC / AHA Guidelines (DO NOT EDIT) <ref name="pmid17692738">{{cite journal |author=Anderson JL, Adams CD, Antman EM, ''et al'' |title=ACC/AHA 2007 guidelines for the management of patients with unstable angina/non-ST-Elevation myocardial infarction: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Revise the 2002 Guidelines for the Management of Patients With Unstable Angina/Non-ST-Elevation Myocardial Infarction) developed in collaboration with the American College of Emergency Physicians, the Society for Cardiovascular Angiography and Interventions, and the Society of Thoracic Surgeons endorsed by the American Association of Cardiovascular and Pulmonary Rehabilitation and the Society for Academic Emergency Medicine |journal=JACC |volume=50 |issue=7 |pages=e1–e157 |year=2007 |month=August |pmid=17692738 |doi:10.1016/j.jacc.2007.02.013 |url=}}</ref>==
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===Class I===
 
1. Detailed discharge instructions for post [[UA]] / [[NSTEMI]] patients should include education on medications, diet, exercise, and smoking cessation counseling (if appropriate), referral to a [[cardiac rehabilitation]] / secondary prevention program (when appropriate), and the scheduling of a timely follow-up appointment. Low risk medically treated patients and revascularized patients should return in 2 to 6 weeks, and higher risk patients should return within 14 days. (Level of Evidence: C)
 
2. Patients with [[UA]] / [[NSTEMI]] managed initially with a conservative strategy who experience recurrent signs or symptoms of unstable angina or severe (Canadian Cardiovascular Society class III) chronic stable angina despite medical management who are suitable for revascularization should undergo timely [[coronary angiography]]. (Level of Evidence: B)
 
3. Patients with [[UA]] / [[NSTEMI]] who have tolerable [[stable angina]] or no anginal symptoms at follow-up visits should be managed with long term medical therapy for [[stable CAD]]. (Level of Evidence: B)
 
4. Care should be taken to establish effective communication between the post [[UA]] / [[NSTEMI]] patient and health care team members to enhance long term compliance with prescribed therapies and recommended lifestyle changes. (Level of Evidence: B)}}
 
==Sources==
*The ACC/AHA 2007 Guidelines for the Management of Patients With Unstable Angina/Non-ST-Elevation Myocardial Infarction <ref name="pmid17692738">{{cite journal |author=Anderson JL, Adams CD, Antman EM, ''et al'' |title=ACC/AHA 2007 guidelines for the management of patients with unstable angina/non-ST-Elevation myocardial infarction: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Revise the 2002 Guidelines for the Management of Patients With Unstable Angina/Non-ST-Elevation Myocardial Infarction) developed in collaboration with the American College of Emergency Physicians, the Society for Cardiovascular Angiography and Interventions, and the Society of Thoracic Surgeons endorsed by the American Association of Cardiovascular and Pulmonary Rehabilitation and the Society for Academic Emergency Medicine |journal=JACC |volume=50 |issue=7 |pages=e1–e157 |year=2007 |month=August |pmid=17692738 |doi:10.1016/j.jacc.2007.02.013 |url=}}</ref>
 
==References==
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Latest revision as of 15:12, 3 June 2009

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