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An updated protocol for evaluating chest pain and managing acute coronary syndromes

  • Christopher R. Kelly
  • , Ajay J. Kirtane
  • , Jennifer Stant
  • , Gregg W. Stone
  • , Robert M. Minutello
  • , S. Chiu Wong
  • , Honeyleen Manuzon
  • , Roxanne Gerow-Smith
  • , Nancy Kelley
  • , Le Roy E. Rabbani

Research output: Contribution to journalArticlepeer-review

8 Scopus citations

Abstract

Clinical pathways can optimize care both across and within institutions, but regular updates to these pathways based on new clinical trials, professional guidelines, and Food and Drug Administration approvals are essential. Herein we describe the most recent revisions to the New York- Presbyterian Hospital (Columbia University Medical Center and Weill Cornell Medical Center) clinical pathway for acute coronary syndromes and chest pain, which incorporates novel data regarding the timing and administration of P2Y12 inhibition (including the intravenous P2Y12 inhibitor cangrelor) and the appropriateness of prolonged (>1 year) dual antiplatelet therapy for the secondary prevention of ischemic events.

Original languageEnglish
Pages (from-to)7-14
Number of pages8
JournalCritical Pathways in Cardiology
Volume16
Issue number1
DOIs
StatePublished - 2017
Externally publishedYes

Keywords

  • Acute coronary syndromes
  • Antiplatelet therapy
  • Percutaneous coronary intervention

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