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Acute coronary syndromes: consensus recommendations for translating knowledge into action

Peter L Thompson
Med J Aust 2010; 193 (9): 550-553.
Published online: 1 November 2010

In reply: Forge quotes the recommendation from the United States guidelines to consider conservative treatment after initial stabilisation of non-ST-elevation myocardial infarction.1 This may not the best option for patients in Australian regional hospital conditions. This pathway delivers less optimal outcomes1,2 and should only be considered if a seamless switch to an invasive approach can be made. The primary recommendation from the US guidelines for patients whose conditions are initially stabilised is that “an early invasive strategy . . . is indicated”.1

  • Peter L Thompson1,2

  • 1 Western Australia Heart Research Institute, Sir Charles Gairdner Hospital, Perth, WA.
  • 2 Coronary Care Manual, second edition, Elsevier, Sydney, NSW.


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