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Tag Archives: invasive management

May 2009 Br J Cardiol 2009;16:132–4

Nurse specialist-led management of acute coronary syndromes

Khaled Alfakih, Martin Melville, Jacqui Nainby, Jamie Waterall, Kevin Walters, John Walsh, Alun Harcombe

Abstract

Introduction As the management of patients with acute coronary syndromes (ACS) has changed over recent years, so cardiology services have had to adapt their configurations. We instituted a comprehensive system of nurse specialist-led diagnosis and management of ACS and audited the impact of these changes. The evidence informing our management of ACS patients comes from national registries, such as the prospective registry of acute ischaemic syndrome in the UK (PRAIS-UK)1 and large clinical trials.2-3 The PRAIS-UK registry investigated the management and outcome of 1,046 patients with unstable angina (UA) and non-ST elevation myocardial infarc

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