Akutes Koronarsyndrom ohne ST-Streckenhebung

Zusammenfassung

Die Europäische Gesellschaft für Kardiologie hat 2015 aktualisierte Leitlinien zur Diagnostik und Therapie des akuten Koronarsyndroms ohne ST-Streckenhebung veröffentlicht. Der vorliegende Beitrag beschäftigt sich mit einigen der wichtigsten Neuerungen: der Einführung des 1-Stunden-Algorithmus zur Diagnostik mit hochsensitiven Troponin-Assays, der Präzisierung von Zeitvorgaben zur invasiven Strategie, neuen Empfehlungen zur Katheterintervention und periinterventionellen antithrombotische Therapie sowie neuen Aspekten der Sekundärprävention.

Abstract

In 2015 the European Society of Cardiology published a new version of the guidelines for the management of acute coronary syndromes without persistent ST-segment elevation. The current communication addresses some of the most important updates: introduction of the 1-hour diagnostic algorithm with high-sensitivity troponin assays, specified time lines for the invasive strategy, new recommendations for catheter intervention and peri-interventional antithrombotic therapy as well as new aspects of secondary prevention.

Schlüsselwörter

Akutes Koronarsyndrom - Nicht ST-Hebungsinfarkt - Leitlinie

Keywords

acute coronary syndrome - non ST-elevation myocardial infarction - guideline

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