AHA NSTE-ACS Guidelines - Free

Acute Coronary Syndromes Guidelines

AHA Acute Coronary Syndromes GUIDELINES Apps and Pocket Guides brought to you courtesy of Guideline Central. Enjoy!

Issue link: https://eguideline.guidelinecentral.com/i/589485

Contents of this Issue

Navigation

Page 28 of 31

27 Table 18. Special Patient Groups (cont'd) Recommendations COR LOE Stress (Takotsubo) cardiomyopathy Stress (Takotsubo) cardiomyopathy should be considered in patients who present with apparent ACS and nonobstructive CAD at angiography. I C Imaging with ventriculography, echocardiography, or magnetic resonance imaging should be performed to confirm or exclude the diagnosis of stress (Takotsubo) cardiomyopathy. I B Patients should be treated with conventional agents (ACE inhibitors, beta blockers, ASA, and diuretics) as otherwise indicated if hemodynamically stable. I C Anticoagulation should be administered in patients who develop LV thrombi. I C It is reasonable to use catecholamines for patients with symptomatic hypotension if outflow tract obstruction is not present. IIa C e use of an intra-aortic balloon pump is reasonable for patients with refractory shock. IIa C It is reasonable to use beta blockers and alpha-adrenergic agents in patients with outflow tract obstruction. IIa C Prophylactic anticoagulation may be considered to inhibit the development of LV thrombi. IIb C

Articles in this issue

view archives of AHA NSTE-ACS Guidelines - Free - Acute Coronary Syndromes Guidelines