AHA GUIDELINES Bundle (free trial)

Coronary Artery Revascularization

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Disclaimer is pocket guide attempts to define principles of practice that should produce high-quality patient care. It is applicable to specialists, primary care, and providers at all levels. is pocket guide should not be considered exclusive of other methods of care reasonably directed at obtaining the same results. e ultimate judgment concerning the propriety of any course of conduct must be made by the clinician aer consideration of each individual patient situation. Neither IGC, the medical associations, nor the authors endorse any product or service associated with the distributor of this clinical reference tool. Source Lawton JS, Tamis-Holland JE, Bangalore S, Bates ER, Beckie TM, Bischoff JM, Bittl JA, Cohen MG, DiMaio JM, Don CW, Fremes SE, Gaudino MF, Goldberger ZD, Grant MC, Jaswal JB, Kurlansky PA, Mehran R, Metkus TS, Nnacheta LC, Rao SV, Sabik JF, Sellke FW, Sharma G, Yong CM, Zwischenberger BA; 2021 AHA/ACC/ASE/CHEST/ SAEM/SCCT/SCMR Guideline for Coronary Artery Revascularization: a report of the American College of Cardiolog y/American Heart Association Joint Committee on Clinical Practice Guidelines. J Am Coll Cardiol. 2021; doi:10.1016/j.jacc.2021.09.006 Copublished in Circulation. 2021; doi:10.1161/CIR.0000000000001038. AHAREV10213a TEL: 407.878.7606 • FAX: 407.878.7611 Order additional copies at GuidelineCentral.com Copyright © 2021 All rights reserved GuidelineCentral.com Abbreviations ACS, acute coronary syndrome; ACT, activated clotting time; AKI, acute kidney injury; BIMA, bilateral internal mammary artery; BMS, bare-metal stent; CABG, coronary artery bypass gra; CAD, coronary artery disease; CKD, chronic kidney disease; COR, Class of Recommendation; CTO, chronic total occlusion; CVA, cerebrovascular accident; CVD, cardiovascular disease; DAPT, dual antiplatelet therapy; DES, drug-eluting stent; EF, ejection fraction; FFR, fractional flow reserve; GDMT, guideline-directed medical therapy; iFR, instantaneous wave-free ratio; IMA, internal mammary artery; ISR, in-stent restenosis; IV, intravenous; IVUS, intravascular ultrasound; LAD, le anterior descending ; LIMA, le internal mammary artery; LOE, Level of Evidence; MELD, Model for End-Stage Liver Disease; MI, myocardial infarction; MUST, Malnutrition Universal Screening Tool; NSTE-ACS, non-ST-segment-elevation acute coronary syndrome; OCT, optical coherence tomography; PCI, percutaneous coronary intervention; SC, subcutaneous; SCAD, spontaneous coronary artery dissection; SIHD, stable ischemic heart disease; STEMI, ST-segment-elevation myocardial infarction; SVG, saphenous vein gra; SYNTAX, Synerg y Between PCI With TAXUS and Cardiac Surgery; TEE, transesophageal echocardiography; UFH, unfractionated heparin; VT, ventricular tachycardia

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