MD Conference Express AHA 2011 - (Page Cover3)

the first 6 hours, if it was not already initiated before the procedure. For those patients who are allergic to aspirin, clopidogrel is a reasonable alternative for postoperative APT. After CABG, patients should be restarted on aspirin therapy prior to discharge as well as prescribed other evidence-based cardioprotective therapies, such as statins, ACE inhibitors, and β-blockers 33, if they do not have contraindications. The new 2011 guideline also expands on and adds to recommendations on numerous other topics including recommendations on statin therapy, the use of vascular closure devices, PCI in hospitals without on-site surgical backup, and coronary stenting. PCI might be considered in hospitals without onsite cardiac surgery facilities, provided that appropriate planning for program development has been accomplished and that rigorous clinical and angiographic criteria are used for proper patient selection (Class IIb; LOE: B). The use of radial artery access can be useful in decreasing access site complications. Radial artery access is particularly appealing in patients with coagulopathy, elevated international normalized ratio due to warfarin, or morbid obesity (Class IIa: LOE: A). Drug-eluting stents are useful as an alternative to bare metal stents to reduce the risk of restenosis in cases in which the risk of restenosis is increased and the patient is likely to be able to tolerate and comply with prolonged dual APT (Class I; LOE: A for elective PCI; LOE: C for UA/ NSTEMI; LOE: A for STEMI). Implementing new guideline recommendations into daily practice is challenging for many clinicians, said David Faxon, MD, Brigham and Women’s Hospital, Boston, Massachusetts, USA. The 2011 ACCF/AHA/SCAI guideline updates for PCI and CABG include 163 and 156 individual recommendations, respectively. Several tools are available to help health care professionals implement new standards of cardiac care, such as the AHA Get with the Guidelines initiative (http://www.heart.org/ HEARTORG/HealthcareResearch/GetWithTheGuidelinesResuscitation/Get-With-The-Guidelines-Resuscitation_ UCM_314496_SubHomePage.jsp), national registry programs that track patient outcomes and define new benchmarks, and electronic medical records that provide real-time feedback and documentation. Putting the 2011 ACCF/AHA/SCAI PCI and CABG guidelines into practice will require multidisciplinary approaches and collaboration among all members of the heart care team. Peer-Reviewed Highlights from the American Heart Association Scientific Sessions 2011 33  http://www.mdconferencexpress.com http://www.heart.org/HEARTORG/HealthcareResearch/GetWithTheGuidelines-Resuscitation/Get-With-The-Guidelines-Resuscitation_UCM_314496_SubHomePage.jsp http://www.heart.org/HEARTORG/HealthcareResearch/GetWithTheGuidelines-Resuscitation/Get-With-The-Guidelines-Resuscitation_UCM_314496_SubHomePage.jsp http://www.heart.org/HEARTORG/HealthcareResearch/GetWithTheGuidelines-Resuscitation/Get-With-The-Guidelines-Resuscitation_UCM_314496_SubHomePage.jsp http://www.myhealthywaist.org http://icao2012.myhealthywaist.org http://www.facebook.com/myhealthywaist http://www.twitter.com/myhealthywaist

Table of Contents for the Digital Edition of MD Conference Express AHA 2011

MD Conference Express AHA 2011

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