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学科主题: 临床医学
题名:
Challenges and solutions in medically managed ACS in the Asia-Pacific region: Expert recommendations from the Asia-Pacific ACS Medical Management Working Group
作者: Huo, Yong1; Thompson, Peter2; Buddhari, Wacin3; Ge, Junbo4; Harding, Scott5,6; Ramanathan, Letchuman7; Reyes, Eugenio8; Santoso, Anwar9,10; Tam, Li-Wah11; Vijayaraghavan, Govindan12; Yeh, Hung-I13; Asia-Pacific ACS Med Management Wo
关键词: Acute coronary syndromes ; Asia-Pacific ; Medical management ; Conservative ; Myocardial infarction
刊名: INTERNATIONAL JOURNAL OF CARDIOLOGY
发表日期: 2015-03-15
DOI: 10.1016/j.ijcard.2014.11.195
卷: 183, 页:63-75
收录类别: SCI
文章类型: Review
WOS标题词: Science & Technology
类目[WOS]: Cardiac & Cardiovascular Systems
研究领域[WOS]: Cardiovascular System & Cardiology
关键词[WOS]: ACUTE CORONARY SYNDROMES ; ST-SEGMENT-ELEVATION ; ACUTE MYOCARDIAL-INFARCTION ; ASSOCIATION TASK-FORCE ; NATIONAL-HEART-FOUNDATION ; ACCF/AHA FOCUSED UPDATE ; SYNDROME REGISTRY TACSR ; TERM COST-EFFECTIVENESS ; NEW-ZEALAND GUIDELINES ; IN-HOSPITAL MORTALITY
英文摘要:

Acute coronary syndromes (ACS) remain a leading cause of mortality and morbidity in the AsiaPacific (APAC) region. International guidelines advocate invasive procedures in all but lowrisk ACS patients; however, a high proportion of ACS patients in the APAC region receive solely medical management due to a combination of unique geographical, socioeconomic, and populationspecific barriers. The APAC ACS Medical Management Working Group recently convened to discuss the ACS medical management landscape in the APAC region. Local and international ACS guidelines and the global and APAC clinical evidencebase for medical management of ACS were reviewed. Challenges in the provision of optimal care for these patients were identified and broadly categorized into issues related to (1) accessibility/systems of care, (2) risk stratification, (3) education, (4) optimization of pharmacotherapy, and (5) cost/affordability. While ACS guidelines clearly represent a valuable standard of care, the group concluded that these challenges can be best met by establishing cardiac networks and individual hospital models/clinical pathways taking into account local risk factors (including socioeconomic status), affordability and availability of pharmacotherapies/invasive facilities, and the nature of local healthcare systems. Potential solutions central to the optimization of ACS medical management in the APAC region are outlined with specific recommendations. (C) 2014 Elsevier Ireland Ltd. All rights reserved.

语种: 英语
项目资助者: AstraZeneca, Shanghai, China
WOS记录号: WOS:000351927700011
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/67494
Appears in Collections:北京大学第一临床医学院_期刊论文

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作者单位: 1.Peking Univ, Hosp 1, Beijing 100871, Peoples R China
2.Univ Western Australia, Sir Charles Gairdner Hosp, Perth, WA 6009, Australia
3.Chulalongkorn Univ, Fac Med, Bangkok 10330, Thailand
4.Fudan Univ, Zhongshan Hosp, Shanghai 200433, Peoples R China
5.Victoria Univ, Wellington Cardiovasc Res Grp, Wellington, New Zealand
6.Victoria Univ, Sch Biol Sci, Wellington, New Zealand
7.Taiping Hosp, Dept Med, Taiping, Malaysia
8.Univ Philippines, Philippine Gen Hospital, Cardiol Sect, Manila, Philippines
9.Univ Indonesia, Fac Med, Dept Cardiol Vasc Med, Harapan Kita, Indonesia
10.Natl Cardiovasc Ctr, Harapan Kita, Indonesia
11.Kwong Wah Hosp, Kowloon, Hong Kong, Peoples R China
12.Kerala Inst Med Sci, Thiruvananthapuram, Kerala, India
13.Mackay Mem Hosp, Mackay Med Coll, New Taipei City, Taiwan

Recommended Citation:
Huo, Yong,Thompson, Peter,Buddhari, Wacin,et al. Challenges and solutions in medically managed ACS in the Asia-Pacific region: Expert recommendations from the Asia-Pacific ACS Medical Management Working Group[J]. INTERNATIONAL JOURNAL OF CARDIOLOGY,2015,183:63-75.
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