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e-discussion on Emerging trends in therapeutics of ACS

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Dear Members,I hope you all are with me. Now we have come to an important phase of discussion i.e. management part.Let us see what ACC/AHA recommendations say about management of patients with Unstable angina (UA) and NSTEMI.The 2007 ACC/AHA guidelines state that the goal of immediate treatment

of patients with UA/NSTEMI is to provide relief of ischemia and to prevent the

recurrence of adverse ischemic events.

Treatment with anti-ischemic, antiplatelet, and anticoagulant

agents is essential to achieve this goal.

In addition to aggressive medical therapy, two treatment

pathways have emerged for treating UA/ NSTEMI patients: an early invasive

strategy and an initial conservative strategy. Risk stratification helps to

determine how aggressive we should be with respect to both medical therapy and

treatment strategy.Regards,Tarun Wadhwa

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