AI Article Synopsis

  • The coexistence of acute coronary syndrome (ACS) and non-cardiac surgery (NCS) presents two main challenges for doctors: post-operative patients who develop ACS and those with ACS needing NCS.
  • Treating these patients involves finding the right balance between optimizing antithrombotic therapies for ACS and reducing the risk of bleeding during or after surgery.
  • The review discusses management strategies to effectively navigate the risks of ischemia and bleeding in patients facing both ACS and NCS.

Article Abstract

The coexistence of an acute coronary syndrome (ACS) and non-cardiac surgery (NCS) in an individual patient can be summarized in two challenging clinical scenarios for the treating physician: 1) Post-operative patients who develop ACS and 2) Patients with ACS who subsequently require NCS. Both settings are characterized by a struggle on the part of treating physicians attempting to optimize antithrombotic therapies for ACS while minimizing post-surgical bleeding risk. In this review we address specific clinical issues related to patients with coexistent NCS and ACS, discussing possible management strategies balancing ischemic and bleeding risk in these complex patient scenarios.

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http://dx.doi.org/10.1007/s11886-013-0373-3DOI Listing

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