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Challenges and solutions in medically managed ACS in the Asia-Pacific region: Expert recommendations from the Asia-Pacific ACS Medical Management Working Group
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
2015-03-15
DOI10.1016/j.ijcard.2014.11.195
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
WOS记录号WOS:000351927700011
资助机构AstraZeneca, Shanghai, China
引用统计
被引频次:5[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/67494
专题北京大学第一临床医学院
北京大学第一临床医学院_心血管内科
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
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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.
APA Huo, Yong.,Thompson, Peter.,Buddhari, Wacin.,Ge, Junbo.,Harding, Scott.,...&Asia-Pacific ACS Med Management Wo.(2015).Challenges and solutions in medically managed ACS in the Asia-Pacific region: Expert recommendations from the Asia-Pacific ACS Medical Management Working Group.INTERNATIONAL JOURNAL OF CARDIOLOGY,183,63-75.
MLA Huo, Yong,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".INTERNATIONAL JOURNAL OF CARDIOLOGY 183(2015):63-75.
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