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European Heart Journal 2002 23(23):1809-1840; doi:10.1053/euhj.2002.3385
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Task Force Reports

Management of acute coronary syndromes in patients presenting without persistent ST-segment elevation

Micheal E. Bertrand, Chairf1, Maarten L. Simoons, Keith A.A. Fox, Lars C. Wallentin, Christian W. Hamm, Eugene McFadden, Pim J. De Feyter, Giuseppe Specchia and Witold Ruzyllo

Received August 19, 2002; accepted August 21, 2002

f1 Correspondence: Dr Michel Bertrand, Department of Cardiology, Hopital Cardiologique, Boulevard du Pr Leclercq, 59037 Lille, France.

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Plasma angiogenin levels in acute coronary syndromes: implications for prognosis
Eur. Heart J., December 2, 2007; 28(24): 3006 - 3011.
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Eur Heart JHome page
L. Perez de Isla, J. Zamorano, M. Quezada, C. Almeria, J. L. Rodrigo, V. Serra, J. C. Garcia Rubira, A. F. Ortiz, and C. Macaya
Functional mitral regurgitation after a first non-ST-segment elevation acute coronary syndrome: contribution to congestive heart failure
Eur. Heart J., December 1, 2007; 28(23): 2866 - 2872.
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Diabetes CareHome page
W. Otter, M. Winter, W. Doering, E. Standl, and O. Schnell
C-Reactive Protein in Diabetic and Nondiabetic Patients With Acute Myocardial Infarction
Diabetes Care, December 1, 2007; 30(12): 3080 - 3082.
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HeartHome page
A. Norhammar, J. Lindback, L. Ryden, L. Wallentin, U. Stenestrand, and on behalf of the Register of Information and Knowl
Improved but still high short- and long-term mortality rates after myocardial infarction in patients with diabetes mellitus: a time-trend report from the Swedish Register of Information and Knowledge about Swedish Heart Intensive Care Admission
Heart, December 1, 2007; 93(12): 1577 - 1583.
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J Am Coll CardiolHome page
R. F. Storey, S. Husted, R. A. Harrington, S. Heptinstall, R. G. Wilcox, G. Peters, M. Wickens, H. Emanuelsson, P. Gurbel, P. Grande, et al.
Inhibition of Platelet Aggregation by AZD6140, A Reversible Oral P2Y12 Receptor Antagonist, Compared With Clopidogrel in Patients With Acute Coronary Syndromes
J. Am. Coll. Cardiol., November 6, 2007; 50(19): 1852 - 1856.
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W. B Meijboom, N. R Mollet, C. A Van Mieghem, A. C Weustink, F. Pugliese, N. van Pelt, F. Cademartiri, E. Vourvouri, P. de Jaegere, G. P Krestin, et al.
64-Slice CT coronary angiography in patients with non-ST elevation acute coronary syndrome
Heart, November 1, 2007; 93(11): 1386 - 1392.
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A.O. Kraaijeveld, S.C.A. de Jager, W.J. de Jager, B.J. Prakken, S.R. McColl, I. Haspels, H. Putter, T.J.C. van Berkel, L. Nagelkerken, J.W. Jukema, et al.
CC Chemokine Ligand-5 (CCL5/RANTES) and CC Chemokine Ligand-18 (CCL18/PARC) Are Specific Markers of Refractory Unstable Angina Pectoris and Are Transiently Raised During Severe Ischemic Symptoms
Circulation, October 23, 2007; 116(17): 1931 - 1941.
[Abstract] [Full Text] [PDF]


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CirculationHome page
K. M. Eggers, B. Lagerqvist, P. Venge, L. Wallentin, and B. Lindahl
Persistent Cardiac Troponin I Elevation in Stabilized Patients After an Episode of Acute Coronary Syndrome Predicts Long-Term Mortality
Circulation, October 23, 2007; 116(17): 1907 - 1914.
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K. C. Wollert, T. Kempf, B. Lagerqvist, B. Lindahl, S. Olofsson, T. Allhoff, T. Peter, A. Siegbahn, P. Venge, H. Drexler, et al.
Growth Differentiation Factor 15 for Risk Stratification and Selection of an Invasive Treatment Strategy in Non ST-Elevation Acute Coronary Syndrome
Circulation, October 2, 2007; 116(14): 1540 - 1548.
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J Am Coll CardiolHome page
G. Campo, M. Valgimigli, D. Gemmati, G. Percoco, L. Catozzi, A. Frangione, F. Federici, F. Ferrari, M. Tebaldi, S. Luccarelli, et al.
Poor Responsiveness to Clopidogrel: Drug-Specific or Class-Effect Mechanism?: Evidence From a Clopidogrel-to-Ticlopidine Crossover Study
J. Am. Coll. Cardiol., September 18, 2007; 50(12): 1132 - 1137.
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J. L. Anderson, C. D. Adams, E. M. Antman, C. R. Bridges, R. M. Califf, D. E. Casey Jr, W. E. Chavey II, F. M. Fesmire, J. S. Hochman, T. N. Levin, et al.
ACC/AHA 2007 Guidelines for the Management of Patients With Unstable Angina/Non-ST-Elevation Myocardial Infarction: A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Revise the 2002 Guidelines for the Management of Patients With Unstable Angina/Non-ST-Elevation Myocardial Infarction) Developed in Collaboration with the American College of Emergency Physicians, the Society for Cardiovascular Angiography and Interventions, and the Society of Thoracic Surgeons Endorsed by the American Association of Cardiovascular and Pulmonary Rehabilitation and the Society for Academic Emergency Medicine
J. Am. Coll. Cardiol., August 14, 2007; 50(7): e1 - e157.
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Ann. Thorac. Surg.Home page
M. Thielmann, M. Neuhauser, A. Marr, U. Herold, M. Kamler, P. Massoudy, and H. Jakob
Predictors and Outcomes of Coronary Artery Bypass Grafting in ST Elevation Myocardial Infarction
Ann. Thorac. Surg., July 1, 2007; 84(1): 17 - 24.
[Abstract] [Full Text] [PDF]


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Eur Heart JHome page
Authors/Task Force Members, J.-P. Bassand, C. W. Hamm, D. Ardissino, E. Boersma, A. Budaj, F. Fernandez-Aviles, K. A.A. Fox, D. Hasdai, E. M. Ohman, et al.
Guidelines for the diagnosis and treatment of non-ST-segment elevation acute coronary syndromes: The Task Force for the Diagnosis and Treatment of Non-ST-Segment Elevation Acute Coronary Syndromes of the European Society of Cardiology
Eur. Heart J., July 1, 2007; 28(13): 1598 - 1660.
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BMJHome page
R. J G Peters, S. Mehta, and S. Yusuf
Acute coronary syndromes without ST segment elevation
BMJ, June 16, 2007; 334(7606): 1265 - 1269.
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Eur Heart JHome page
G. Montalescot, J. Dallongeville, E. Van Belle, S. Rouanet, C. Baulac, A. Degrandsart, E. Vicaut, and for the OPERA Investigators
STEMI and NSTEMI: are they so different? 1 year outcomes in acute myocardial infarction as defined by the ESC/ACC definition (the OPERA registry)
Eur. Heart J., June 2, 2007; 28(12): 1409 - 1417.
[Abstract] [Full Text] [PDF]


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Eur Heart J SupplHome page
Authors/Task Force Members, L. Ryden, E. Standl, M. Bartnik, G. V. d. Berghe, J. Betteridge, M.-J. de Boer, F. Cosentino, B. Jonsson, M. Laakso, et al.
Guidelines on diabetes, pre-diabetes, and cardiovascular diseases: full text: The Task Force on Diabetes and Cardiovascular Diseases of the European Society of Cardiology (ESC) and of the European Association for the Study of Diabetes (EASD)
Eur. Heart J. Suppl., June 1, 2007; 9(suppl_C): C3 - C74.
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CirculationHome page
K. P. Alexander, L. K. Newby, C. P. Cannon, P. W. Armstrong, W. B. Gibler, M. W. Rich, F. Van de Werf, H. D. White, W. D. Weaver, M. D. Naylor, et al.
Acute Coronary Care in the Elderly, Part I: Non-ST-Segment-Elevation Acute Coronary Syndromes: A Scientific Statement for Healthcare Professionals From the American Heart Association Council on Clinical Cardiology: In Collaboration With the Society of Geriatric Cardiology
Circulation, May 15, 2007; 115(19): 2549 - 2569.
[Abstract] [Full Text] [PDF]


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CirculationHome page
M. Hamon, J. Riddell, and M. Hamon
Letter by Hamon et al Regarding Article, "Coronary Multidetector Computed Tomography in the Assessment of Patients With Acute Chest Pain"
Circulation, May 8, 2007; 115(18): e448 - e448.
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K. A. A. Fox, P. G. Steg, K. A. Eagle, S. G. Goodman, F. A. Anderson Jr, C. B. Granger, M. D. Flather, A. Budaj, A. Quill, J. M. Gore, et al.
Decline in Rates of Death and Heart Failure in Acute Coronary Syndromes, 1999-2006
JAMA, May 2, 2007; 297(17): 1892 - 1900.
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Eur Heart JHome page
S. V. Rao, J. A. Eikelboom, C. B. Granger, R. A. Harrington, R. M. Califf, and J.-P. Bassand
Bleeding and blood transfusion issues in patients with non-ST-segment elevation acute coronary syndromes
Eur. Heart J., May 2, 2007; 28(10): 1193 - 1204.
[Abstract] [Full Text] [PDF]


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Eur Heart JHome page
A. T. Yan, R. T. Yan, M. Tan, A. Casanova, M. Labinaz, K. Sridhar, D. H. Fitchett, A. Langer, and S. G. Goodman
Risk scores for risk stratification in acute coronary syndromes: useful but simpler is not necessarily better
Eur. Heart J., May 1, 2007; 28(9): 1072 - 1078.
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Eur Heart JHome page
O. Manfrini and R. Bugiardini
Barriers to clinical risk scores adoption
Eur. Heart J., May 1, 2007; 28(9): 1045 - 1046.
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Eur Heart JHome page
C. J. Boos, S. K. Soor, D. Kang, and G. Y.H. Lip
Relationship between circulating endothelial cells and the predicted risk of cardiovascular events in acute coronary syndromes
Eur. Heart J., May 1, 2007; 28(9): 1092 - 1101.
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QJMHome page
P. Mad, H. Domanovits, C. Fazelnia, K. Stiassny, G. Russmuller, A. Cseh, G. Sodeck, T. Binder, G. Christ, T. Szekeres, et al.
Human heart-type fatty-acid-binding protein as a point-of-care test in the early diagnosis of acute myocardial infarction
QJM, April 1, 2007; 100(4): 203 - 210.
[Abstract] [Full Text] [PDF]


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J Am Coll CardiolHome page
G. Patti, V. Pasceri, G. Colonna, M. Miglionico, D. Fischetti, G. Sardella, A. Montinaro, and G. Di Sciascio
Atorvastatin Pretreatment Improves Outcomes in Patients With Acute Coronary Syndromes Undergoing Early Percutaneous Coronary Intervention: Results of the ARMYDA-ACS Randomized Trial
J. Am. Coll. Cardiol., March 27, 2007; 49(12): 1272 - 1278.
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A. Recio-Mayoral, M. Chaparro, B. Prado, R. Cozar, I. Mendez, D. Banerjee, J. C. Kaski, J. Cubero, and J. M. Cruz
The Reno-Protective Effect of Hydration With Sodium Bicarbonate Plus N-Acetylcysteine in Patients Undergoing Emergency Percutaneous Coronary Intervention: The RENO Study
J. Am. Coll. Cardiol., March 27, 2007; 49(12): 1283 - 1288.
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haematolHome page
G. Renda, R. Di Pillo, A. D'Alleva, A. Sciartilli, M. Zimarino, E. De Candia, R. Landolfi, G. Di Giammarco, A. Calafiore, and R. De Caterina
Surgical bleeding after pre-operative unfractionated heparin and low molecular weight heparin for coronary bypass surgery
Haematologica, March 1, 2007; 92(3): 366 - 373.
[Abstract] [Full Text] [PDF]


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M. J Lenzen, W. J M Scholte op Reimer, S. S Pedersen, E. Boersma, W. Maier, P. Widimsky, M. L Simoons, N. F Mercado, W. Wijns, and on behalf of the investigators of the Euro Heart S
The additional value of patient-reported health status in predicting 1-year mortality after invasive coronary procedures: a report from the Euro Heart Survey on Coronary Revascularisation
Heart, March 1, 2007; 93(3): 339 - 344.
[Abstract] [Full Text] [PDF]


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P Wong, S Murray, A Ramsewak, A Robinson, C van Heyningen, and E Rodrigues
Raised cardiac troponin T levels in patients without acute coronary syndrome
Postgrad. Med. J., March 1, 2007; 83(977): 200 - 205.
[Abstract] [Full Text] [PDF]


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JAMAHome page
G. W. Stone, M. E. Bertrand, J. W. Moses, E. M. Ohman, A. M. Lincoff, J. H. Ware, S. J. Pocock, B. T. McLaurin, D. A. Cox, M. Z. Jafar, et al.
Routine Upstream Initiation vs Deferred Selective Use of Glycoprotein IIb/IIIa Inhibitors in Acute Coronary Syndromes: The ACUITY Timing Trial
JAMA, February 14, 2007; 297(6): 591 - 602.
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Eur Heart JHome page
C. Held, P. Tornvall, and U. Stenestrand
Effects of revascularization within 14 days of hospital admission due to acute coronary syndrome on 1-year mortality in patients with previous coronary artery bypass graft surgery
Eur. Heart J., February 1, 2007; 28(3): 316 - 325.
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F.-J. Neumann and H. J. Buttner
Underuse of revascularisation in acute coronary syndromes
Heart, February 1, 2007; 93(2): 147 - 148.
[Abstract] [Full Text] [PDF]


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Eur Heart J SupplHome page
F.-J. Neumann, A. Kastrati, and G. Schwarzer
New aspects in the treatment of acute coronary syndromes without ST-elevation: ICTUS and ISAR-COOL in perspective
Eur. Heart J. Suppl., February 1, 2007; 9(suppl_A): A4 - A10.
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K A A Fox, F A Anderson Jr, O H Dabbous, P G Steg, J Lopez-Sendon, F Van de Werf, A Budaj, E P Gurfinkel, S G Goodman, D Brieger, et al.
Intervention in acute coronary syndromes: do patients undergo intervention on the basis of their risk characteristics? The Global Registry of Acute Coronary Events (GRACE)
Heart, February 1, 2007; 93(2): 177 - 182.
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Eur Heart J SupplHome page
D. Dudek, A. Dziewierz, B. Chyrchel, L. Polonski, J. Legutko, and J. S. Dubiel
Antiplatelet treatment in non-ST-segment elevation acute coronary syndrome patients undergoing percutaneous coronary intervention (ISAR-REACT 2 insight)
Eur. Heart J. Suppl., February 1, 2007; 9(suppl_A): A25 - A31.
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Eur Heart JHome page
M. R. Bhattacharyya, L. Perkins-Porras, D. L. Whitehead, and A. Steptoe
Psychological and clinical predictors of return to work after acute coronary syndrome
Eur. Heart J., January 2, 2007; 28(2): 160 - 165.
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Eur Heart JHome page
Authors/Task Force Members, L. Ryden, E. Standl, M. Bartnik, G. Van den Berghe, J. Betteridge, M.-J. de Boer, F. Cosentino, B. Jonsson, M. Laakso, et al.
Guidelines on diabetes, pre-diabetes, and cardiovascular diseases: executive summary: The Task Force on Diabetes and Cardiovascular Diseases of the European Society of Cardiology (ESC) and of the European Association for the Study of Diabetes (EASD)
Eur. Heart J., January 1, 2007; 28(1): 88 - 136.
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QJMHome page
G. Ramsay, M. Podogrodzka, C. McClure, and K.A.A. Fox
Risk prediction in patients presenting with suspected cardiac pain: the GRACE and TIMI risk scores versus clinical evaluation
QJM, January 1, 2007; 100(1): 11 - 18.
[Abstract] [Full Text] [PDF]


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J Am Coll CardiolHome page
R. J. Gibbons and T. D. Miller
Noninvasive Risk Stratification After Myocardial Infarction: New Evidence, New Questions
J. Am. Coll. Cardiol., December 19, 2006; 48(12): 2468 - 2470.
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QJMHome page
K. Bindra, C. Berry, J. Rogers, N. Stewart, M. Watts, J. Christie, S.M. Cobbe, and H. Eteiba
Abnormal haemoglobin levels in acute coronary syndromes.
QJM, December 1, 2006; 99(12): 851 - 862.
[Abstract] [Full Text] [PDF]


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ChestHome page
G. Y. H. Lip and M. Karpha
Anticoagulant and Antiplatelet Therapy Use in Patients With Atrial Fibrillation Undergoing Percutaneous Coronary Intervention: The Need for Consensus and a Management Guideline
Chest, December 1, 2006; 130(6): 1823 - 1827.
[Abstract] [Full Text] [PDF]


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NEJMHome page
G. W. Stone, B. T. McLaurin, D. A. Cox, M. E. Bertrand, A. M. Lincoff, J. W. Moses, H. D. White, S. J. Pocock, J. H. Ware, F. Feit, et al.
Bivalirudin for Patients with Acute Coronary Syndromes.
N. Engl. J. Med., November 23, 2006; 355(21): 2203 - 2216.
[Abstract] [Full Text] [PDF]


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Eur Heart JHome page
L. Perez de Isla, J. Zamorano, M. Quezada, C. Almeria, J. L. Rodrigo, V. Serra, J. C. Garcia Rubira, A. F. Ortiz, and C. Macaya
Prognostic significance of functional mitral regurgitation after a first non-ST-segment elevation acute coronary syndrome
Eur. Heart J., November 2, 2006; 27(22): 2655 - 2660.
[Abstract] [Full Text] [PDF]


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HeartHome page
M Heras, H Bueno, A Bardaji, A Fernandez-Ortiz, H Marti, J Marrugat, and on behalf of the DESCARTES Investigators
Magnitude and consequences of undertreatment of high-risk patients with non-ST segment elevation acute coronary syndromes: insights from the DESCARTES Registry
Heart, November 1, 2006; 92(11): 1571 - 1576.
[Abstract] [Full Text] [PDF]


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CirculationHome page
S. Goser, M. Andrassy, S. J. Buss, F. Leuschner, C. H. Volz, R. Ottl;, S. Zittrich;, N. Blaudeck, S. E. Hardt, G. Pfitzer, et al.
Cardiac Troponin I but Not Cardiac Troponin T Induces Severe Autoimmune Inflammation in the Myocardium
Circulation, October 17, 2006; 114(16): 1693 - 1702.
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Eur Heart JHome page
L. Mandelzweig, A. Battler, V. Boyko, H. Bueno, N. Danchin, G. Filippatos, A. Gitt, D. Hasdai, Y. Hasin, J. Marrugat, et al.
The second Euro Heart Survey on acute coronary syndromes: characteristics, treatment, and outcome of patients with ACS in Europe and the Mediterranean Basin in 2004
Eur. Heart J., October 1, 2006; 27(19): 2285 - 2293.
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Eur Heart J SupplHome page
M. E. Bertrand and E. Van Belle
Triple antiplatelet treatment in patients presenting with non-ST-segment elevation acute coronary syndromes
Eur. Heart J. Suppl., October 1, 2006; 8(suppl_G): G59 - G63.
[Abstract] [Full Text] [PDF]


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J Am Coll CardiolHome page
R. J. de Winter
Commentary on Clinical Guidelines and Practice: In Search of the Truth by Dean J. Kereiakes and Elliott M. Antman
J. Am. Coll. Cardiol., September 19, 2006; 48(6): 1136 - 1138.
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J Am Coll CardiolHome page
G. Montalescot, G. Sideris, C. Meuleman, C. Bal-dit-Sollier, N. Lellouche, Ph. G. Steg, M. Slama, O. Milleron, J.-P. Collet, P. Henry, et al.
A Randomized Comparison of High Clopidogrel Loading Doses in Patients With Non-ST-Segment Elevation Acute Coronary Syndromes: The ALBION (Assessment of the Best Loading Dose of Clopidogrel to Blunt Platelet Activation, Inflammation and Ongoing Necrosis) Trial
J. Am. Coll. Cardiol., September 5, 2006; 48(5): 931 - 938.
[Abstract] [Full Text] [PDF]


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Diabetes and Vascular Disease ResearchHome page
C. P Gale, C. Kashinath, and P. Brooksby
The association between hyperglycaemia and elevated troponin levels on mortality in acute coronary syndromes
Diabetes and Vascular Disease Research, September 1, 2006; 3(2): 80 - 83.
[Abstract] [PDF]


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