       Document 0312
 DOCN  M9630312
 TI    Unstable angina pectoris. What is the likelihood of further cardiac
       events?
 DT    9603
 AU    Bankwala Z; Swenson LJ; Section of Cardiology, St Paul-Ramsey Medical
       Center, MN; 55101-2595, USA.
 SO    Postgrad Med. 1995 Dec;98(6):155-8, 161-2, 164-5. Unique Identifier :
       AIDSLINE MED/96103163
 AB    Wide variation in severity of unstable angina requires an individualized
       approach. The goals are to stabilize the patient's condition and prevent
       progression to acute myocardial infarction or death. The following
       points summarize the current status of diagnosis and treatment: Patients
       suspected of having unstable angina but thought to be at low risk can be
       discharged after clinical evaluation if further outpatient evaluation
       within 72 hours is scheduled. Patients thought to be at intermediate or
       high risk should be hospitalized. Thrombolytic therapy should not be
       administered without evidence of acute myocardial infarction. Assessment
       of prognosis by noninvasive testing often aids in selection of
       appropriate therapy. Coronary angiography is appropriate in patients
       judged to be at high risk for cardiac complications on the basis of
       their clinical course or results of non-invasive testing. Coronary
       artery bypass grafting should be recommended in almost all patients with
       left main coronary artery disease and many with multivessel disease,
       especially those with left ventricular dysfunction. Percutaneous
       transluminal coronary angioplasty is also effective in selected
       patients. The discharge care plan should include continued monitoring of
       symptoms, appropriate drug therapy (including aspirin), and risk-factor
       modification.
 DE    Angina, Unstable/*DIAGNOSIS/THERAPY  Death, Sudden, Cardiac/PREVENTION &
       CONTROL  Heart Catheterization  Human  Myocardial Infarction/PREVENTION
       & CONTROL  Prognosis  Risk Factors  JOURNAL ARTICLE  REVIEW  REVIEW,
       TUTORIAL

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).

