Acute coronary syndromes: Consensus recommendations for translating knowledge into action

David Brieger, Anne Maree Kelly, Constantine Aroney, Philip Tideman, Saul B. Freedman, Derek Chew, Marcus Ilton, Gerard Carroll, Ian Jacobs, Nancy P. Huang

Research output: Contribution to journalReview article

21 Citations (Scopus)

Abstract

• A systematic, integrated national approach is needed to implement 2006 Australian guidelines for management of acute coronary syndromes (ACS). Clinical outcomes can be improved by closing the current gaps between evidence and practice. • In 2007, the National Heart Foundation of Australia, the Cardiac Society of Australia and New Zealand, and the Australasian College for Emergency Medicine held a national forum to identify current gaps in ACS management and priority strategies to improve outcomes. Consensus recommendations were based on evidence and expert opinion. • Prompt reperfusion for patients with ST-segment-elevation myocardial infarction should be ensured by establishing protocols for single-call activation of primary percutaneous coronary intervention, or, where unavailable, enabling health care workers to initiate thrombolysis. • Accuracy of risk stratification of non-ST-segment-elevation ACS (NSTEACS) should be improved using clinical pathways that integrate ambulance, medical and nursing care. • Rates of early invasive management for patients with high-risk NSTEACS should be increased using efficient systems for transfer to revascularisation facilities. • All patients with an ACS should be referred to rehabilitation and secondary prevention programs, including alternative models of care where appropriate. • Equal access to recommended care for all Australians with an ACS - including those in rural, remote and Aboriginal and Torres Strait Islander communities - should be achieved by improving workforce capacity in under-resourced regions and ensuring access to third-generation fibrinolytic agents, defibrillation, timely essential pathology tests and invasive revascularisation facilities. • National standards for data collection and clinical outcomes should be established, and performance should be monitored.

Original languageEnglish
Pages (from-to)334-338
Number of pages5
JournalMedical Journal of Australia
Volume191
Issue number6
DOIs
Publication statusPublished - 21 Sep 2009

ASJC Scopus subject areas

  • Medicine(all)

Cite this