TY  - BOOK
AU  - Magalhaes, Marco A
AU  - Minha, Sa'ar
TI  - Characteristics and management of patients with acute coronary syndrome and normal or non-significant coronary artery disease: results from Acute Coronary Syndrome Israeli Survey (ACSIS) 2004-2010
SN  - 1042-3931
PY  - 2014///
KW  - *Acute Coronary Syndrome
KW  - *Coronary Artery Disease/pp [Physiopathology]
KW  - *Disease Management
KW  - Acute Coronary Syndrome/di [Diagnosis]
KW  - Acute Coronary Syndrome/et [Etiology]
KW  - Acute Coronary Syndrome/mo [Mortality]
KW  - Acute Coronary Syndrome/pp [Physiopathology]
KW  - Acute Coronary Syndrome/th [Therapy]
KW  - Age Factors
KW  - Aged
KW  - Coronary Angiography/mt [Methods]
KW  - Coronary Artery Disease/co [Complications]
KW  - Coronary Artery Disease/di [Diagnosis]
KW  - Female
KW  - Health Surveys
KW  - Hospital Mortality
KW  - Hospitalization/sn [Statistics & Numerical Data]
KW  - Humans
KW  - Israel/ep [Epidemiology]
KW  - Male
KW  - Middle Aged
KW  - Risk Factors
KW  - Sex Factors
KW  - MedStar Heart & Vascular Institute
KW  - Journal Article
N1  - Available online from MWHC library: 2001 - present, Available in print through MWHC library: 2003 - 2008
N2  - BACKGROUND: An important subset of patients presenting with acute coronary syndrome (ACS) are found to have either normal coronaries (NCs) or non-obstructive coronary artery disease (NOCAD; lumen diameter narrowing <50%); CONCLUSIONS: In a real-world practice of ACS, underutilization of evidence-based medications in patients with NC or NOCAD was observed. Nonetheless, its prognostic significance is still unknown and must be explored in larger patient cohorts; METHODS: The Acute Coronary Syndrome Israeli Survey (ACSIS) database was utilized to compare the characteristics and therapeutic approach for patients who underwent angiography for ACS and had either NC (n = 84; 2%), NOCAD (n = 79; 2%), or obstructive coronary artery disease (OCAD; n = 3523; 96%); OBJECTIVES: To explore the characteristics and management strategies in this population in a real-world setting; RESULTS: Baseline characteristics were comparable, save for a younger age and a higher proportion of females in the NC group (P<.001 for both). Prior to admission, chronic anticoagulant therapy was more frequently used in the NC vs. the OCAD group (4.8% vs. 1.6%, respectively; P=.02). Recommended ACS evidence-based medications, both in-hospital and at discharge, were less frequently prescribed to patients with NC or NOCAD
ER  -