Acute Coronary Syndrome

The American College of Cardiology and American Heart Association issued updated practice guidelines for the management of patients with acute coronary syndrome.

Most lipid-lowering medications lack safety data for pregnant and lactating women, complicating management of hyperlipidemia and hypertriglyceridemia, but data suggest statins can be used for those at high risk for cardiovascular events.

A bedside cardiac troponin test could reduce the time patients with ACS spend in the ED by nearly 45 minutes, with the availability of a doctor to assess the situation and move them to the cardiac ward, a speaker reported.

ATLANTA — Intravascular ultrasound-guided PCI lowered risk for target vessel failure vs. an angiography-guided approach for patients with acute coronary syndrome, a speaker reported.

ATLANTA — Telehealth visits with CV care teams initiated when patients with prior ACS experienced concerning symptoms reduced unnecessary readmissions, guided them when seeking emergency care and reduced CV events, a speaker reported.

Among adults with acute coronary syndrome not classified as having obesity, obstructive sleep apnea raised the risk for major cardiovascular and cerebrovascular events, according to results published in CHEST.

Prehospital rule-out of non-ST-segment elevation ACS with risk assessment and a single troponin test led to lower health care cost with similarly low 1-year outcomes vs. rule-out in the ED, results of the ARTICA trial show.

Intensive BP lowering may be safe in patients with a history of cancer not currently receiving treatment, according to a post hoc analysis of the SPRINT trial published in Hypertension.