Research Topics
| Charles PollackSummaryAffiliation: University of Pennsylvania Country: USA Publications
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Publications
Clevidipine, an intravenous dihydropyridine calcium channel blocker, is safe and effective for the treatment of patients with acute severe hypertensionCharles V Pollack
Department of Emergency Medicine, Pennsylvania Hospital, University of Pennsylvania, Philadelphia, PA 19107, USA
Ann Emerg Med 53:329-38. 2009....
Advanced management of acute iliofemoral deep venous thrombosis: emergency department and beyondCharles V Pollack
Department of Emergency Medicine, Pennsylvania Hospital, University of Pennsylvania, Philadelphia, PA 19107, USA
Ann Emerg Med 57:590-9. 2011....
2007 focused update to the ACC/AHA guidelines for the management of patients with ST-segment elevation myocardial infarction: implications for emergency department practiceCharles V Pollack
Department of Emergency Medicine, Pennsylvania Hospital, University of Pennsylvania, Philadelphia, PA 19107, USA
Ann Emerg Med 52:344-355.e1. 2008....
Status report: Development of emergency medicine research since the Macy ReportCharles V Pollack
Department of Emergency Medicine at Pennsylvania Hospital, 800 Spruce Street, Philadelphia, PA 19107, USA
Ann Emerg Med 42:66-80. 2003....
Application of the TIMI risk score for unstable angina and non-ST elevation acute coronary syndrome to an unselected emergency department chest pain populationCharles V Pollack
Department of Emergency Medicine, Pennsylvania Hospital, University of Pennsylvania Health System, Philadelphia, PA, USA
Acad Emerg Med 13:13-8. 2006....
2002 update to the ACC/AHA guidelines for the management of patients with unstable angina and non-ST-segment elevation myocardial infarction: implications for emergency department practiceCharles V Pollack
University of Pennsylvania Health System, Pennsylvania Hospital, 800 Spruce Street, Philadelphia, PA 19107, USA
Ann Emerg Med 41:355-69. 2003..Several of the modified and new recommendations again potentially affect ED management. These are presented and discussed here...
Non-ST-elevation myocardial infarction patients who present during off hours have higher risk profiles and are treated less aggressively, but their outcomes are not worse: a report from Can Rapid Risk Stratification of Unstable Angina Patients Suppress ADCharles V Pollack
Department of Emergency Medicine, University of Pennsylvania Hospital, Philadelphia, PA 19107, USA
Crit Pathw Cardiol 8:29-33. 2009..Although intensity of medical management was similar between groups, it was generally lower than current guidelines recommend, indicating potential for improvement in NSTEMI outcomes, regardless of time of presentation...
Wireless cardiac event alert monitoring is feasible and effective in the emergency department and adjacent waiting areasCharles V Pollack
Department of Emergency Medicine, Pennsylvania Hospital, University of Pennsylvania, Philadelphia, Pennsylvania 19107, USA
Crit Pathw Cardiol 8:7-11. 2009..Wireless cardiac event monitoring is feasible in the ED, and improves the throughput of ED patients with worsening vital signs, and may improve overall patient safety, without an onerous burden of nonproductive alarms...
2004 American College of Cardiology/American Heart Association guidelines for the management of patients with ST-elevation myocardial infarction: implications for emergency department practiceCharles V Pollack
Pennsylvania Hospital, University of Pennsylvania Health System, Philadelphia, PA, USA
Ann Emerg Med 45:363-76. 2005..These are presented and discussed here...
Emerging oral antiplatelet therapies for acute coronary syndromesCharles V Pollack
Department of Emergency Medicine, Pennsylvania Hospital, Philadelphia, PA 19107, USA
Hosp Pract (Minneap) 38:29-37. 2010....
Pharmacological and mechanical revascularization strategies in STEMI: integration of the two approachesCharles Pollack
Pennsylvania Hospital, Department of Emergency Medicine, University of Pennsylvania School of Medicine, 800 Spruce Street, Philadelphia, PA, 19107, USA
J Invasive Cardiol 20:231-8. 2008..This review outlines the growing list of treatment options available for these high-risk patients and highlights the advantages of some of the newer pharmacological strategies...
Prospective evaluation of emergency department patients with potential coronary syndromes using initial absolute CK-MB vs. CK-MB relative indexOtilia Capellan
Department of Emergency Medicine, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania 19104-4283, USA
J Emerg Med 24:361-7. 2003..The optimal test depends upon the relative importance of the sensitivity or specificity for clinical decision-making in an individual patient...
Early glycoprotein IIb/IIIa inhibitor use for non-ST-segment elevation acute coronary syndrome: patient selection and associated treatment patternsJames W Hoekstra
Department of Emergency Medicine, Wake Forest University Health Sciences, Medical Center Boulevard, Winston Salem, NC 27157, USA
Acad Emerg Med 12:431-8. 2005....
The elder patient with suspected acute coronary syndromes in the emergency departmentJin H Han
Department of Emergency Medicine, Vanderbilt University Medical Center, Nashville, TN, USA
Acad Emerg Med 14:732-9. 2007..To describe the evaluation and outcomes of elder patients with suspected acute coronary syndromes (ACS) presenting to the emergency department (ED)...
Utility of platelet adp receptor antagonism in the emergency department: a reviewCharles V Pollack
Department of Emergency Medicine, Pennsylvania Hospital, University of Pennsylvania Health System, Philadelphia, Pennsylvania 19107, USA
J Emerg Med 24:45-54. 2003..This review addresses the pathophysiology of atherothrombosis and evaluates the potential use of ADP receptor antagonists in the Emergency Department setting...
The obesity paradox in non-ST-segment elevation acute coronary syndromes: results from the Can Rapid risk stratification of Unstable angina patients Suppress ADverse outcomes with Early implementation of the American College of Cardiology/American Heart ADeborah B Diercks
Department of Emergency Medicine, University of California, Davis, School of Medicine, Sacramento, CA, USA
Am Heart J 152:140-8. 2006..Although obesity is a known risk factor for coronary artery disease, its impact on the presentation, treatment, and outcome of patients with acute coronary syndromes (ACS) has not been well studied...
Performance of a population-based cardiac risk stratification tool in Asian patients with chest painChadwick D Miller
Department of Emergency Medicine, Wake Forest University Health Sciences, Medical Center Boulevard, Winston Salem, NC 27157 1089, USA
Acad Emerg Med 12:423-30. 2005..Their validity in single-race populations has not been tested. The authors sought to compare the performance of a risk stratification tool between a mixed-race U.S. patient population and an Asian patient population...
Treatment disparities in the care of patients with and without diabetes presenting with non-ST-segment elevation acute coronary syndromesGerard X Brogan
Department of Emergency Medicine, New York University School of Medicine North Shore Long Island Jewish Health System, Plainview, New York 11803, USA
Diabetes Care 29:9-14. 2006..The objective of this study was to characterize treatment patterns among patients with diabetes presenting with non-ST-segment elevation (NSTE) acute coronary syndromes (ACSs)...
Prospective multicenter study of quantitative pretest probability assessment to exclude acute coronary syndrome for patients evaluated in emergency department chest pain unitsAlice M Mitchell
Department of Emergency Medicine, Carolinas Medical Center, Charlotte, NC 28323-2861, USA
Ann Emerg Med 47:447. 2006....
Lack of utility of telemetry monitoring for identification of cardiac death and life-threatening ventricular dysrhythmias in low-risk patients with chest painJudd E Hollander
Department of Emergency Medicine, Hospital of the University of Pennsylvania, Philadelphia 19104 4283, USA
Ann Emerg Med 43:71-6. 2004..We tested the hypothesis that monitoring admitted low-risk patients with chest pain for dysrhythmia is low yield (<1% detection of life-threatening dysrhythmias requiring treatment)...
Meta-analysis of ischemia-modified albumin to rule out acute coronary syndromes in the emergency departmentFrank Peacock
Department of Emergency Medicine, The Cleveland Clinic Foundation, Cleveland, OH 44195, USA
Am Heart J 152:253-62. 2006..4% and 97.1% and, for longer-term outcomes, were 89.2% and 94.5%, respectively. CONCLUSIONS: A negative TPT of a nondiagnostic electrocardiogram, negative troponin, and negative IMA has a high NPV for excluding ACS in the ED...
Hospitals with and without percutaneous coronary intervention capability: considerations for treating acute coronary syndromesJudd E Hollander
Department of Emergency Medicine, University of Pennsylvania, School of Medicine, Philadelphia, PA 19104 4283, USA
Am J Emerg Med 27:595-606. 2009..Bivalirudin can be used in non-ST-segment elevation myocardial infarction patients who are managed invasively...
Elevated serum cardiac markers predict coronary artery disease in patients with a history of heart failure who present with chest pain: insights from the i*trACS registryJonathan Glauser
Division of Medicine, Department of Emergency Medicine, Cleveland Clinic Foundation, Cleveland, OH 44195, USA
Congest Heart Fail 13:142-8. 2007..5%) had CAD. A history of HF did not lessen the likelihood of CAD as evidenced by angiography and does not diminish the utility of cardiac markers in diagnosing acute coronary syndromes...
Racial variations in treatment and outcomes of black and white patients with high-risk non-ST-elevation acute coronary syndromes: insights from CRUSADE (Can Rapid Risk Stratification of Unstable Angina Patients Suppress Adverse Outcomes With Early ImplemeAli F Sonel
Center for Health Equity Research and Promotion, Pittsburgh, PA, USA
Circulation 111:1225-32. 2005..It is unknown whether racial disparities exist for other treatments for non-ST-segment elevation acute coronary syndromes (NSTE ACS) and how different treatments affect outcomes...
The usage patterns of cardiac bedside markers employing point-of-care testing for troponin in non-ST-segment elevation acute coronary syndrome: results from CRUSADEKevin M Takakuwa
Thomas Jefferson University Hospital, Philadelphia, Pennsylvania 19107, USA
Clin Cardiol 32:498-505. 2009..We evaluated the use patterns of cardiac bedside markers or POC testing for troponin in patients with non-ST-segment elevation (NSTE) ACS...
Treatment and outcomes of patients with evolving myocardial infarction: experiences from the SYNERGY trialChadwick D Miller
Department of Emergency Medicine, Wake Forest University School of Medicine, Winston Salem, NC, USA
Eur Heart J 28:1079-84. 2007..We compared the initial treatment and clinical outcomes of patients presenting with evolving MI (EMI) with those presenting with MI...
Early treatment for non-ST-segment elevation acute coronary syndrome is associated with appropriate discharge careGregory J Fermann
Department of Emergency Medicine, University of Cincinnati, Cincinnati, Ohio 45267 0769, USA
Clin Cardiol 32:519-25. 2009..Acute treatment is associated with improved in-hospital outcomes for patients with non-ST-segment elevation acute coronary syndrome (NSTE ACS)...
2007 update to the ACC/AHA guidelines for the management of patients with unstable angina and non-ST-segment elevation myocardial infarction: implications for emergency department practiceCharles V Pollack
Department of Emergency Medicine, Pennsylvania Hospital, 800 Spruce Street, Philadelphia, PA 19107, USA
Ann Emerg Med 51:591-606. 2008....
Antiplatelet therapy in acute coronary syndromes: the emergency physician's perspectiveCharles V Pollack
Department of Emergency Medicine, Pennsylvania Hospital, University of Pennsylvania Health System, Philadelphia, Pennsylvania 19107, USA
J Emerg Med 35:5-13. 2008..For patients presenting to the emergency department with ACS, the benefits and risks of initiating clopidogrel or GP IIb/IIIa inhibitor therapy need to be considered on an individual basis...
Weight-based dosing of enoxaparin in obese patients with non-ST-segment elevation acute coronary syndromes: results from the CRUSADE initiativeSarah A Spinler
Department of Pharmacy Practice and Pharmacy Administration, Philadelphia College of Pharmacy, University of the Sciences in Philadelphia, Philadelphia, Pennsylvania 19104, USA
Pharmacotherapy 29:631-8. 2009..To evaluate how enoxaparin is dosed in contemporary clinical practice as a function of patients' total body weight (TBW) and body mass index (BMI), and to determine any association between dose and major bleeding...
Is the initial diagnostic impression of "noncardiac chest pain" adequate to exclude cardiac disease?Chadwick D Miller
Department of Emergency Medicine, Wake Forest University, Winston Salem, NC 27157 1089, USA
Ann Emerg Med 44:565-74. 2004..In patients presenting to the emergency department (ED) with an initial diagnostic impression of noncardiac chest pain, we determine the 30-day incidence of adverse cardiac events and characteristics associated with those events...
The Internet Tracking Registry of Acute Coronary Syndromes (i*trACS): a multicenter registry of patients with suspicion of acute coronary syndromes reported using the standardized reporting guidelines for emergency department chest pain studiesChristopher J Lindsell
Department of Emergency Medicine, University of Cincinnati Medical Center, Cincinnati, OH 45267 0769, USA
Ann Emerg Med 48:666-77, 677.e1-9. 2006..We describe the methods for data collection and the ED population enrolled in a multicenter registry of patients with chest pain...
Does timing matter? Upstream or downstream administration of antiplatelet therapyDavid Slattery
Department of Emergency Medicine, University of Nevada School of Medicine, Las Vegas, NV 89106, USA
Am J Emerg Med 27:348-61. 2009....
Influence of sex on the out-of-hospital management of chest painZachary F Meisel
Robert Wood Johnson Foundation Clinical Scholars Program, Department of Emergency Medicine, University of Pennsylvania School of Medicine, Philadelphia, PA, USA
Acad Emerg Med 17:80-7. 2010..Out-of-hospital (OOH) care for chest pain is protocol-driven and may be less likely to demonstrate differences between men and women...
Clevidipine for severe hypertension in acute heart failure: a VELOCITY trial analysisFrank W Peacock
Department of Emergency Medicine, Cleveland Clinic, Cleveland, OH 44195 0001, USA
Congest Heart Fail 16:55-9. 2010..Clevidipine safely decreases SBP in AHF and does not cause unexpected hypotension. The results of this post hoc subgroup analysis suggest that clevidipine is safe, well tolerated, and efficacious in AHF patients with hypertension...
Utilization and impact of pre-hospital electrocardiograms for patients with acute ST-segment elevation myocardial infarction: data from the NCDR (National Cardiovascular Data Registry) ACTION (Acute Coronary Treatment and Intervention Outcomes Network) ReDeborah B Diercks
Department of Emergency Medicine, University of California, Davis Medical Center, Sacramento, CA 95661, USA
J Am Coll Cardiol 53:161-6. 2009..This study sought to determine the association of pre-hospital electrocardiograms (ECGs) and the timing of reperfusion therapy for patients with ST-segment elevation myocardial infarction (STEMI)...
Pretest probability assessment derived from attribute matchingJeffrey A Kline
Department of Emergency Medicine, Carolinas Medical Center, Charlotte, NC, USA
BMC Med Inform Decis Mak 5:26. 2005..This report compares a novel attribute-matching method to generate a PTP for acute coronary syndrome (ACS). We compare the new method with a validated logistic regression equation (LRE)...
The medical management of acute coronary syndromes and potential roles for new antithrombotic agentsCharles V Pollack
Department of Emergency Medicine, Pennsylvania Hospital, University of Pennsylvania Health System, Philadelphia, Pennsylvania 19107, USA
J Emerg Med 34:417-28. 2008..These data underscore the promise of new antithrombotic agents to improve outcomes in acute coronary syndrome (ACS) patients being medically managed...
Standardized reporting guidelines for studies evaluating risk stratification of emergency department patients with potential acute coronary syndromesJudd E Hollander
University of Pennsylvania, Philadelphia, PA, USA
Ann Emerg Med 44:589-98. 2004
Prognostic value of symptoms during a normal or nonspecific electrocardiogram in emergency department patients with potential acute coronary syndromeMaureen Chase
Department of Emergency Medicine, Hospital of the University of Pennsylvania, Philadelphia, PA, USA
Acad Emerg Med 13:1034-9. 2006..The authors hypothesized that patients with a normal or nonspecific ECG during symptoms have a lower risk for ACS than do those who are asymptomatic...
The association between emergency department crowding and adverse cardiovascular outcomes in patients with chest painJesse M Pines
Department of Emergency Medicine, University of Pennsylvania School of Medicine, Philadelphia, PA, USA
Acad Emerg Med 16:617-25. 2009..The authors examined whether ED crowding was associated with adverse cardiovascular outcomes in patients with chest pain syndromes (chest pain or related complaints of possible cardiac origin)...
Multicenter validation of the Philadelphia EMS admission rule (PEAR) to predict hospital admission in adult patients using out-of-hospital dataZachary F Meisel
The Robert Wood Johnson Foundation Clinical Scholars Program, Leonard Davis Institute of Health Economics, and the Department of Emergency Medicine, University of Pennsylvania School of Medicine, Philadelphia, PA, USA
Acad Emerg Med 16:519-25. 2009..The objective was to validate a previously derived prediction rule for hospital admission using routinely collected out-of-hospital information...
Derivation and internal validation of a rule to predict hospital admission in prehospital patientsZachary F Meisel
Department of Emergency Medicine, University of Pennsylvania School of Medicine, Philadelphia, PA 19104, USA
Prehosp Emerg Care 12:314-9. 2008....
Discordant cardiac biomarkers: frequency and outcomes in emergency department patients with chest painAlan B Storrow
Department of Emergency Medicine, Vanderbilt University Medical Center, Nashville, TN 37232 4700, USA
Ann Emerg Med 48:660-5. 2006....
The role of cardiac risk factor burden in diagnosing acute coronary syndromes in the emergency department settingJin H Han
Vanderbilt University Medical Center, Department of Emergency Medicine, Nashville, TN 37232 4700, USA
Ann Emerg Med 49:145-52, 152.e1. 2007..We seek to determine whether cardiac risk factor burden (defined as the number of conventional cardiac risk factors present) is useful for the diagnosis of acute coronary syndromes in the emergency department (ED) setting...
Insurance status and the treatment of myocardial infarction at academic centersBrian C Hiestand
Department of Emergency Medicine, The Ohio State University, 149 Means Hall, 1654 Upham Drive, Columbus, OH 43210 1270, USA
Acad Emerg Med 11:343-8. 2004..Numerous studies have documented treatment disparities in patients with acute coronary syndromes based on race and gender. Other causes for treatment disparities may exist...
Intracranial pathology in elders with blunt head traumaNiels K Rathlev
Department of Emergency Medicine, Boston Medical Center, Boston, MA 02118, USA
Acad Emerg Med 13:302-7. 2006....
A study of the workforce in emergency medicine: 1999John C Moorhead
Department of Emergency Medicine, Oregon Health Science University, Portland, OR, USA
Ann Emerg Med 40:3-15. 2002..02). The total number of emergency physicians remained the same over the 2-year period, whereas the number of FTEs per institution increased from 5.11 to 5.35. The physician/FTE ratio remained unchanged...
The impact of race on the acute management of chest painArvind Venkat
Department of Emergency Medicine, University of Cincinnati College of Medicine, Cincinnati, OH 45267, USA
Acad Emerg Med 10:1199-208. 2003..40 to 0.68 and OR, 0.68; 95% CI = 0.47 to 0.99). CONCLUSIONS: Racial disparities in acute chest pain management extend beyond cardiac catheterization. Poor compliance with recommended treatments for ACS may be an explanation...
Seizures as a cause of altered mental statusDavid E Slattery
Department of Emergency Medicine, University of Nevada School of Medicine, 901 Rancho Lane, Suite 135, Las Vegas, NV 89106, USA
Emerg Med Clin North Am 28:517-34. 2010..The article focuses on those agents that should prompt the emergency physician to initiate unique therapy to abate the seizure and correct the underlying cause...
Cardiac troponinsJohn Sarko
Department of Emergency Medicine, Maricopa Medical Center, Phoenix, Arizona 85008, USA
J Emerg Med 23:57-65. 2002..This review discusses the cardiac troponins, their biochemistry, the assays for them currently available, and their roles in the evaluation of cardiac disease in the Emergency Department (ED)...
Interrater reliability of criteria used in assessing blunt head injury patients for intracranial injuriesJudd E Hollander
Departments of Emergency Medicine, University of Pennsylvania School of Medicine, Ravdin Building Ground Floor, 3400 Spruce Street, Philadelphia, PA 19104 4283, USA
Acad Emerg Med 10:830-5. 2003..To determine the interrater reliability of potential predictor variables that may be used to construct a clinical decision rule for emergency computed tomography of the head in blunt head injury victims...
Heliox in airway managementJane M McGarvey
Department of Emergency Medicine, Pennsylvania Hospital, 800 Spruce Street, Philadelphia, PA 19107, USA
Emerg Med Clin North Am 26:905-20, viii. 2008....
A prospective multicenter study of patient factors associated with hospital admission from the emergency department among children with acute asthmaCharles V Pollack
Department of Emergency Medicine, Pennsylvania Hospital, 800 Spruce St, Philadelphia, PA 19107, USA
Arch Pediatr Adolesc Med 156:934-40. 2002....
Changing the model of care for patients with acute coronary syndromesMatthew T Roe
Duke Clinical Research Institute, Durham, NC 27715, USA
Am Heart J 146:605-12. 2003..The shifting model of care for ACS therefore suggests that quality improvement and monitoring of adherence to practice guidelines should be considered components of optimal clinical practice...
Influence of clinical trial enrollment on the quality of care and outcomes for patients with non-ST-segment elevation acute coronary syndromesDavid E Kandzari
Duke Clinical Research Institute, Duke University Medical Center, Durham, NC 27705, USA
Am Heart J 149:474-81. 2005....
Influence of timing of troponin elevation on clinical outcomes and use of evidence-based therapies for patients with non-ST-segment elevation acute coronary syndromesMatthew T Roe
Duke Clinical Research Institute, Durham, NC 27705, USA
Ann Emerg Med 45:355-62. 2005....
Patterns of transfer for patients with non-ST-segment elevation acute coronary syndrome from community to tertiary care hospitalsMatthew T Roe
Duke Clinical Research Institute, Durham, NC 27705, USA
Am Heart J 156:185-92. 2008....
Use of and inhospital outcomes after early clopidogrel therapy in patients not undergoing an early invasive strategy for treatment of non-ST-segment elevation myocardial infarction: results from Can Rapid risk stratification of Unstable angina patients SuDeepu Alexander
Division of Cardiovascular Medicine, State University of New York, Stony Brook School of Medicine, Stony Brook, NY 11794, USA
Am Heart J 156:606-12. 2008..We sought to determine patterns of early (<24 hours of arrival) clopidogrel use and its association with clinical outcomes in patients with NSTEMI not undergoing early percutaneous intervention (PCI)...
The evolution of thrombolytic therapy and adjunctive antithrombotic regimens in acute ST-segment elevation myocardial infarctionMarc Cohen
Division of Cardiology, Newark Beth Israel Medical Center, Cardiac Cath Lav Administration, New Jersey 07112, USA
Am J Emerg Med 22:14-23. 2004..More recent data can be interpreted as showing that regimens that are simpler and easier to administer are also clinically superior. This article reviews pharmacologic advances and evaluates the evidence for their use in EDs...
Early use of glycoprotein IIb/IIIa inhibitors in non-ST-elevation acute myocardial infarction: observations from the National Registry of Myocardial Infarction 4Eric D Peterson
Duke Clinical Research Institute, 2400 Pratt Street, Room 7009, Durham, NC 27705, USA
J Am Coll Cardiol 42:45-53. 2003..We sought to identify patient and hospital features associated with early glycoprotein (GP) IIb/IIIa inhibitor therapy for non-ST-elevation (NSTE) myocardial infarction (MI) and to relate this treatment to in-hospital outcomes...
Can electrocardiographic criteria predict adverse cardiac events and positive cardiac markers?Andra L Blomkalns
University of Cincinnati, Cincinnati, OH45267 0769, USA
Acad Emerg Med 10:205-10. 2003..The authors hypothesized that specific ECG findings, other than those previously identified in higher-risk populations, would be predictive of cardiac outcomes and positive cardiac markers...
Improving the care of patients with non-ST-elevation acute coronary syndromes in the emergency department: the CRUSADE initiativeJames W Hoekstra
Ohio State University, Columbus, OH 43210, USA
Acad Emerg Med 9:1146-55. 2002..It is the intent of CRUSADE to improve patient care in the ED by tracking and encouraging compliance with evidence-based guidelines for the evaluation and management of NSTE ACS...
Safety and efficacy of switching from either unfractionated heparin or enoxaparin to bivalirudin in patients with non-ST-segment elevation acute coronary syndromes managed with an invasive strategy: results from the ACUITY (Acute Catheterization and UrgenHarvey D White
Green Lane Cardiovascular Service, Auckland City Hospital, Auckland, New Zealand
J Am Coll Cardiol 51:1734-41. 2008..The aim of this study was to compare outcomes in patients receiving consistent unfractionated heparin (UFH)/enoxaparin (ENOX) therapy and in those switched at randomization to bivalirudin monotherapy...
Practical implementation of the guidelines for unstable angina/non-ST-segment elevation myocardial infarction in the emergency department: a scientific statement from the American Heart Association Council on Clinical Cardiology (Subcommittee on Acute CarW Brian Gibler
Circulation 111:2699-710. 2005..Despite publication of the guidelines several years ago, many patients with UA/NSTEMI still do not receive guidelines-indicated therapy...
Safety and efficacy of bivalirudin monotherapy in patients with diabetes mellitus and acute coronary syndromes: a report from the ACUITY (Acute Catheterization and Urgent Intervention Triage Strategy) trialFrederick Feit
Division of Cardiology, Department of Medicine, New York University School of Medicine, New York, New York, USA
J Am Coll Cardiol 51:1645-52. 2008..We sought to evaluate clinical outcomes of patients with diabetes mellitus in the ACUITY (Acute Catheterization and Urgent Intervention Triage Strategy) trial, overall and by treatment arm...
Practical implementation of the Guidelines for Unstable Angina/Non-ST-Segment Elevation Myocardial Infarction in the emergency departmentW Brian Gibler
University of Cincinnati College of Medicine, USA
Ann Emerg Med 46:185-97. 2005..Despite publication of the guidelines several years ago, many patients with UA/NSTEMI still do not receive guidelines-indicated therapy...
The impact of emergency department structure and care processes in delivering care for non-ST-segment elevation acute coronary syndromesRajendra H Mehta
Duke Clinical Research Institute, Duke University Medical Center, Durham, NC, USA
Am Heart J 152:648-60. 2006..We sought to assess the influence of emergency department (ED) structure and care processes on adherence to practice guidelines for the treatment of patients with non-ST-segment elevation acute coronary syndromes...
Prevalence, predictors, and outcomes of patients with non-ST-segment elevation myocardial infarction and insignificant coronary artery disease: results from the Can Rapid risk stratification of Unstable angina patients Suppress ADverse outcomes with EarlyManesh R Patel
Division of Cardiology and Duke Clinical Research Institute, Duke University Medical Center, Durham, NC 27705, USA
Am Heart J 152:641-7. 2006..We sought to determine the prevalence, predictors, and outcomes of patients with NSTEMI and insignificant CAD...
Door-to-ECG time in patients with chest pain presenting to the EDDeborah B Diercks
Division of Emergency Medicine, University of California, Davis Medical Center, Sacramento, 95817, USA
Am J Emerg Med 24:1-7. 2006..To describe time to electrocardiogram (ECG) acquisition, identify factors associated with timely acquisition, and evaluate the influence of time to ECG on adverse clinical outcomes...
Acute clopidogrel use and outcomes in patients with non-ST-segment elevation acute coronary syndromes undergoing coronary artery bypass surgeryRajendra H Mehta
Division of Cardiology and the Duke Clinical Research Institute, Durham, North Carolina 27715, USA
J Am Coll Cardiol 48:281-6. 2006....
Relation between hospital specialization with primary percutaneous coronary intervention and clinical outcomes in ST-segment elevation myocardial infarction: National Registry of Myocardial Infarction-4 analysisBrahmajee K Nallamothu
Health Services Research and Development Center of Excellence, Ann Arbor VA Medical Center, Ann Arbor, Michigan, USA
Circulation 113:222-9. 2006..CONCLUSIONS: Greater specialization with PPCI is associated with lower in-hospital mortality and shorter door-to-balloon times in STEMI patients treated with PPCI...
Impact of congestive heart failure in patients with non-ST-segment elevation acute coronary syndromesMatthew T Roe
Division of Cardiology and Duke Clinical Research Institute, Duke University Medical Center, Durham, North Carolina, USA
Am J Cardiol 97:1707-12. 2006..Further study is needed to determine the causes of these treatment differences and the optimal therapeutic approach for patients with NSTE ACS and concomitant CHF...
Low-molecular-weight heparin compared with unfractionated heparin for patients with non-ST-segment elevation acute coronary syndromes treated with glycoprotein IIb/IIIa inhibitors: results from the CRUSADE initiativeKanwar P Singh
Division of Cardiology and Duke Clinical Research Institute, Durham, NC 27705, USA
J Thromb Thrombolysis 21:211-20. 2006....
Association between hospital process performance and outcomes among patients with acute coronary syndromesEric D Peterson
Duke Clinical Research Institute, Duke University Medical Center, Durham, NC 27705, USA
JAMA 295:1912-20. 2006..Selected care processes are increasingly being used to measure hospital quality; however, data regarding the association between hospital process performance and outcomes are limited...
Frequency and consequences of recording an electrocardiogram >10 minutes after arrival in an emergency room in non-ST-segment elevation acute coronary syndromes (from the CRUSADE Initiative)Deborah B Diercks
University of California Davis Medical Center, Sacramento, California, USA
Am J Cardiol 97:437-42. 2006..Women were significantly more likely than men to have delayed ECG acquisition. Emergency departments should focus on decreasing the time to initial ECG acquisition to improve treatment of acute coronary syndrome in this group...
A subgroup analysis of the impact of prerandomization antithrombin therapy on outcomes in the SYNERGY trial: enoxaparin versus unfractionated heparin in non-ST-segment elevation acute coronary syndromesMarc Cohen
HEART Hospital of New Jersey, Newark Beth Israel Medical Center, Newark, New Jersey 07112, USA
J Am Coll Cardiol 48:1346-54. 2006....
Moving from evidence to practice in the care of patients who have acute coronary syndromeKelly L Miller
Division of Cardiology, University of Maryland School of Medicine, 22 South Greene Street, Baltimore, MD 21201, USA
Cardiol Clin 24:87-102. 2006..Lessons learned from previous and ongoing quality improvement initiatives will provide the tools needed to ensure that widespread adoption of guideline-based therapy is complete...
Recent trends in the care of patients with non-ST-segment elevation acute coronary syndromes: insights from the CRUSADE initiativeRajendra H Mehta
Duke Clinical Research Institute, Duke University Medical Center, Durham, NC 27715, USA
Arch Intern Med 166:2027-34. 2006..We sought to determine recent trends in adherence to guideline-based therapies for NSTE ACS...
Evolution in cardiovascular care for elderly patients with non-ST-segment elevation acute coronary syndromes: results from the CRUSADE National Quality Improvement InitiativeKaren P Alexander
Duke Clinical Research Institute and Division of Cardiology, Duke University Medical Center, Durham, North Carolina 27715, USA
J Am Coll Cardiol 46:1479-87. 2005..This study evaluated the impact of age on care and outcomes for non-ST-segment elevation acute coronary syndromes (NSTE ACS)...
Paradoxical use of invasive cardiac procedures for patients with non-ST segment elevation myocardial infarction: an international perspective from the CRUSADE Initiative and the Canadian ACS Registries I and IIMohammad I Zia
Canadian Heart Research Centre, Toronto, Canada
Can J Cardiol 23:1073-9. 2007..Practice guidelines support an early invasive strategy in patients with non-ST segment elevation acute coronary syndromes, particularly in those at higher risk...
The impact of for-profit hospital status on the care and outcomes of patients with non-ST-segment elevation myocardial infarction: results from the CRUSADE InitiativeBimal R Shah
Duke Clinical Research Institute, Duke University Medical Center, Durham, North Carolina 27710, USA
J Am Coll Cardiol 50:1462-8. 2007..We sought to determine whether for-profit status influenced hospitals' care or outcomes among non-ST-segment elevation myocardial infarction (NSTEMI) patients...
Enoxaparin dosing and associated risk of in-hospital bleeding and death in patients with non ST-segment elevation acute coronary syndromesNancy M Allen LaPointe
Duke Clinical Research Institute, Duke University Medical Center, Durham, NC 27705, USA
Arch Intern Med 167:1539-44. 2007..The extent to which bleeding risk is attributable to excess dosing of enoxaparin is unclear...
Prolonged emergency department stays of non-ST-segment-elevation myocardial infarction patients are associated with worse adherence to the American College of Cardiology/American Heart Association guidelines for management and increased adverse eventsDeborah B Diercks
University of California, Davis, School of Medicine, Sacramento, CA, USA
Ann Emerg Med 50:489-96. 2007..We hypothesized that patients with non-ST-segment-elevation myocardial infarction who have ED stays of greater than 8 hours may have lower quality of care and worse outcomes...
Relationship between risk stratification by cardiac troponin level and adherence to guidelines for non-ST-segment elevation acute coronary syndromesMatthew T Roe
Division of Cardiology and Duke Clinical Research Institute, Duke University Medical Center, Durham, NC 27705, USA
Arch Intern Med 165:1870-6. 2005..The threshold of troponin elevation that stimulates changes in clinical decision making for patients with non-ST-segment elevation acute coronary syndromes (NSTE ACSs) has not been previously evaluated...
Patterns of aspirin dosing in non-ST-elevation acute coronary syndromes in the CRUSADE Quality Improvement InitiativeSumit Tickoo
Bridgeport Hospital, Bridgeport, Connecticut, USA
Am J Cardiol 99:1496-9. 2007....
Timing of glycoprotein IIb/IIIa inhibitor use and outcomes among patients with non-ST-segment elevation myocardial infarction undergoing percutaneous coronary intervention (results from CRUSADE)Pierluigi Tricoci
Division of Cardiology, and Duke Clinical Research Institute, Duke University Medical Center, Durham, NC, USA
Am J Cardiol 99:1389-93. 2007..In conclusion, in this observational analysis, overall ischemic outcomes were similar between the 2 groups, but clinical trials are needed to solve the controversy over optional timing of GP IIb/IIIa inhibitor use...
Optimal timing of intervention in non-ST-segment elevation acute coronary syndromes: insights from the CRUSADE (Can Rapid risk stratification of Unstable angina patients Suppress ADverse outcomes with Early implementation of the ACC/AHA guidelines) RegistJason W Ryan
Cardiovascular Division, Beth Israel Deaconess Medical Center, Boston, MA 02215, USA
Circulation 112:3049-57. 2005..Using weekend status as an instrumental variable, we found no significant benefit to early catheterization, although we could not exclude an important risk reduction, particularly for catheterization within 12 hours of presentation...
Clopidogrel to treat patients with non-ST-segment elevation acute coronary syndromes after hospital dischargePierluigi Tricoci
Division of Cardiology, Duke University School of Medicine, and Duke Clinical Research Institute, Durham, NC, USA
Arch Intern Med 166:806-11. 2006....
