05312nam 2200637Ia 450 991014613770332120180718132848.01-282-12366-197866121236650-470-74546-00-470-74545-2(CKB)1000000000719711(EBL)427958(OCoLC)437111523(SSID)ssj0000354420(PQKBManifestationID)11273861(PQKBTitleCode)TC0000354420(PQKBWorkID)10322574(PQKB)11567099(MiAaPQ)EBC427958(EXLCZ)99100000000071971120090116d2009 uy 0engur|n|---|||||rdacontentrdamediardacarrierManagement of acute coronary syndromes[electronic resource] /Eli V. Gelfand and Christopher P. CannonChichester, West Sussex ;Hoboken, NJ John Wiley & Sons20091 online resource (242 p.)Description based upon print version of record.0-470-72557-5 Includes bibliographical references and index.Management of Acute Coronary Syndromes; Contents; List of contributors; Foreword; Chapter 1 Pathophysiology of acute coronary syndromes; Introduction; Formation of atherosclerotic plaque; Plaque instability and the development of ACS; Myocardial ischemia; Thrombus formation; Platelets; Secondary hemostasis; Dynamic obstruction; Progressive mechanical obstruction; Inflammation; Secondary unstable angina; References; Chapter 2 Diagnosis of acute coronary syndrome; Introduction; Definition of myocardial infarction; History; Risk factors; Physical examination; ElectrocardiographyThe pathophysiologic basis of ST segment changes during ischemiaElectrocardiography in ST-elevation MI and identification of the infarct-related artery; Electrocardiography in unstable angina and NSTEMI; Cardiac biomarkers; Noninvasive imaging; Echocardiography; Myocardial perfusion imaging; Coronary computed tomography; Cardiovascular magnetic resonance imaging; Stress testing for diagnosis of ACS; Overall diagnostic pathway for ACS; References; Chapter 3 Unstable angina and non-ST-elevation myocardial infarction; Introduction; Causes of UA/NSTEMI; Presentation of UA/NSTEMIGeneral strategies in management of UA/NSTEMIRisk stratification of patients with UA/NSTEMI; Initial management of UA/NSTEMI in the emergency department; Pharmacologic treatment of ischemia in UA/NSTEMI; Beta-blockers; Nitrates; Calcium channel blockers; Angiotensin-converting enzyme inhibitors; Morphine; Oxygen; Invasive versus conservative strategy; Antiplatelet therapy in UA/NSTEMI; Aspirin; Clopidogrel; Prasugrel; Glycoprotein IIb/IIIa inhibitors; Anticoagulant therapy in UA/NSTEMI; Unfractionated heparin; Enoxaparin; Direct thrombin inhibitors; FondaparinuxOral anticoagulation in UA/NSTEMIFibrinolysis in UA/NSTEMI; Early lipid-lowering therapy in patients with UA/NSTEMI; Predischarge noninvasive risk stratification after UA/NSTEMI; Overall management of UA/NSTEMI; References; Chapter 4 ST-segment-elevation myocardial infarction; Introduction; Global treatment goals in STEMI; Prehospital management and triage; Transport decisions; Management prior to reperfusion; Primary reperfusion therapy for STEMI; Fibrinolysis; Combination fibrinolysis; Markers of fibrinolysis effectiveness; Complications of fibrinolysisPrimary percutaneous coronary interventionComparison of PCI with fibrinolysis; Timing of primary PCI; PCI following fibrinolytic therapy; Rescue PCI; Facilitated PCI; Routine PCI after successful fibrinolysis; Overall reperfusion strategy; Coronary artery bypass grafting for treatment of STEMI; Adjunctive pharmacologic treatment of STEMI; Antiplatelet agents; Anticoagulation therapy; Other adjunctive therapy; Hospital care following successful reperfusion; References; Chapter 5 Special considerations in acute coronary syndromes; Secondary unstable anginaAcute coronary syndrome in patients with diabetes mellitusAcute Coronary Syndrome covers the spectrum of clinical conditions ranging from unstable angina to non-ST elevation myocardial infarction and ST elevation myocardial infarction. These life-threatening disorders are a major cause of emergency medical care, hospitalization and mortality. Management of Acute Coronary Syndromes is designed to provide busy clinicians with a comprehensive guide to the investigation, diagnosis and treatment of these syndromes. It encompasses the latest technologies, including the use of biomarkers and non-invasive imaging procedures. For each condition, tCoronary heart diseaseMyocardial infarctionElectronic books.Coronary heart disease.Myocardial infarction.616.123616.12306Gelfand Eli V893563Cannon Christopher P893564MiAaPQMiAaPQMiAaPQBOOK9910146137703321Management of acute coronary syndromes1996107UNINA01775nam 2200409 a 450 991069880360332120090608112652.0(CKB)5470000002397834(OCoLC)373897954(EXLCZ)99547000000239783420090608d2009 ua 0engurmn|||||||||txtrdacontentcrdamediacrrdacarrierU.S. Department of Agriculture[electronic resource] recommendations and options available to the new administration and congress to address long-standing civil rights issues : testimony before the Subcommittee on Department Operations, Oversight, Nutrition and Forestry, Committee on Agriculture, House of Representatives /statement of Lisa Shames[Washington, D.C.] :U.S. Govt. Accountability Office,[2009]17 pages, 1 unnumbered page digital, PDF fileTestimony ;GAO-09-650TTitle from title screen (viewed on June 4, 2009)."For release ... April 29, 2009."Includes bibliographical references.U.S. Department of Agriculture DiscriminationUnited StatesPreventionMinority farmersUnited StatesDiscriminationPrevention.Minority farmersShames Lisa1384432United States.Congress.House.Committee on Agriculture.Subcommittee on Department Operations, Oversight, Nutrition, and Forestry.United States.Government Accountability Office.GPOGPOBOOK9910698803603321U.S. Department of Agriculture3493192UNINA