Estrada RC, Vargas MSF

Language: Spanish
References: 10
Page: 551-557
PDF size: 223.06 Kb.

ABSTRACT

The arterial coronary disease is a principal cause of morbimortality in developing countries, where is vital an adequate diagnosis and management because ignore this disease in early stages increases costs. Therefore, this review aims to define the concepts of the coronary disease, diagnosis, risk stratification and management strategies which emphasizes the importance of the optimal medical treatment, without losing the role played by invasive methods of revascularization based on new guidelines with appropriate use criteria for coronary revascularization taking in consideration: clinical presentation (eg, stable angina, acute coronary syndrome), severity of angina, extent of ischemia on noninvasive assessments with the presence or absence of other prognostic factors, and medical therapy and extent of anatomic disease.

REFERENCES

1. Becker C R, Saam T. Evaluation of Coronary Atherosclerotic Plaques. Cardiol Clin 27 2009; 611–617.

2. Braunwald E and Pollack CV. 2007 Update to the ACC/AHA Guidelines for the Management of Patients With Unstable Angina and Non–ST-Segment Elevation Myocardial Infarction: Implications for Emergency Department Practice. Ann Emerg Med. 2008;51: 591- 606.

3. Cassar A, Holmes DR, Rihal CS, and Gersh BJ, Chronic Coronary Artery Disease: Diagnosis and Management. Mayo Clin Proc. 2009;84(12):1130- 1146.

4. Díaz R. Síndrome Coronario Agudo sin Elevación del Segmento ST: Su Enfoque Terapéutico Basado en su Estratificación Pronostica. Rev. costarric. cardiol 2002; 4 (2): 3-6.

5. Insull W. The Pathology of Atherosclerosis: Plaque Development and Plaque Responses to Medical Treatment. The American Journal of Medicine 2009; 122: S3–S14.

6. Jawad E y Arora R. Chronic Stable Angina Pectoris. Dis Mon 2008;54: 671- 689.

7. Jeremias A, Kaul S, Rosengart TK, Gruberg L y Brown DL. The Impact of Revascularization on Mortality in Patients with Nonacute Coronary Artery Disease. The American Journal of Medicine 2009; 122: 152-161

8. Moreno PR, Vulnerable Plaque: Definition, Diagnosis,and Treatment. Cardiol Clin 2010; 28:1–30.

9. Patel MR, Dehmer GJ, Hirshfeld JW, Smith PK, Spertus JA. ACCF/SCAI/ S T S / A AT S / A H A / A S N C / H F S A / SCCT 2012 appropriate use criteria for coronary revascularization focused update: a report of the American College of Cardiology Foundation Appropriate Use Criteria Task Force, Society for Cardiovascular Angiography and Interventions, Society of Thoracic Surgeons, American Association for Thoracic Surgery, American Heart Association, American Society of Nuclear Cardiology, and the Society of Cardiovascular Computed Tomography. J Am Coll Cardiol 2012;59:1-26.

10. Wijns W, Kolh P, Danchin N, Di Mario C y colaboradores. Guía de práctica clínica sobre revascularización miocárdica. Rev Esp Cardiol. 2010;63(12):1485.e1-e76.