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Standard operating procedures to implement the guidelines for non-ST segment elevation myocardial infarction

Kardiologe, ISSN: 1864-9718, Vol: 4, Issue: 5, Page: 389-399
2010
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Article Description

The therapy of patients with NSTE-ACS according to current guidelines is a major challenge in terms of medical treatment and process organisation. Although the guidelines of national and international medical societies translate research data into operational recommendations with varying levels of evidence, they leave several alternative options for the specific treatment which allows the individualisation of therapy but can also lead to problems at interfaces such as the interaction between pre-hospital and hospital-based care. Based on an advanced Eventdriven Process Chain (EPC), a flowchart and exemplary standard operating procedures (SOPs) were developed for the diagnosis and treatment of NSTE-ACS. Critical elements in the diagnosis and therapy of NSTE-ACS are the basic diagnostic workup including clinical assessment, ECG and biomarkers, early and repeated risk stratification, the choice of antithrombotic medications and the timely indication for coronary angiography. Standardized modelling and process guidance using SOPs support the local practise by avoiding errors and ensuring the availability of physician resources for the key element of clinical assessment of the patient. © Springer-Verlag 2010.

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