Abstract: . . .  ongoing angina (>20 minutes) No ST-segment deviation No cardiac enzymes detected Aspirin (perhaps with glycoprotein IIb/IIIa inhibitor) Heparin (unfractionated heparin or low-molecular-weight heparin) Beta-blockers Nitrates Calcium-channel blocker (possibly) Recurrent ischemia? Risk-stratifying tests (exercise-tolerance test, perfusion scintigraphy) Medical therapy (risk-stratifying tests possibly performed on an outpatient . . .
. . .  angina Angina after myocardial infarction Prior use of intensive anti-ischemic regimen Older age Dynamic ST-segment deviation Cardiac enzymes detected Hemodynamic instability Initial Medical Therapy Hospital Course Strategy Page 12 112 January 13, 2000 The New England Journal of Medicine blockade with abciximab: one-year outcome in the EPILOG trial. Circula- . . .
. . .  heparin) Beta-blockers Nitrates Calcium-channel blocker (possibly) Recurrent ischemia? Risk-stratifying tests (exercise-tolerance test, perfusion scintigraphy) Medical therapy (risk-stratifying tests possibly performed on an outpatient basis) Medical therapy Negative results Positive results Coronary angiography and revascularization Expedited invasive strategy Angina at rest or prolonged  . . .
. . .  Fuster V. Acute coronary syndromes: unstable angina and non-Q-wave myocardial infarction. Circulation 1998;97:1195-206. 16. Cheng GC, Loree HM, Kamm RD, Fishbein MC, Lee RT. Distribu- tion of circumferential stress in ruptured and stable atherosclerotic lesions: a structural analysis with histopathological correlation. Circulation 1993; 87:1179-87. 17. Henney AM, Wakeley PR, Davies MJ, et al. Local . . .
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