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Journal of Pharmacy Practice
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Review of the Current ACS Practice Guideline to Develop an Ischemic Chest Pain Protocol

Victor Cohen, BS Pharm, PharmD

Arnold &Marie Schwartz College of Pharmacy &Health Sciences, 75 Dekalb Aveneue, Brooklyn, NY, 11201; Department of Emergency Medicine, Maimonides Medical Center, 4802 Tenth Avenue, Brooklyn, NY 11219, VC4670{at}liu.edu

Daniel G. Murphy, MD, FACEP

Department of Emergency Medicine at Maimonides Medical Center

Janet Williams, RN, CNS

Department of Emergency Medicine at Maimonides Medical Center

This review covers the major recommendations to the 2000 American College of Cardiology/American Heart Association (ACC/AHA) Acute Coronary Syndromes (ACS) Practice Guidelines. This review describes the evidence-based medicine that rationalizes the recommended pharmacotherapy for ST elevation myocardial infarction (STEMI) and non- STEMI (NSTEMI) ACS. To ensure conformity, an Ischemic Chest Pain Protocol (ICPP) order form was developed. The ICPP is like a menu that includes orders for all the recommended therapies in an easy-to-use checklist format. The ICPP has facilitated the implementation, acceptance, and understanding of the 2002 ACC/AHA ACS practice guidelines. Hence with improved conformity, it is hoped that the improved outcomes that were intended will result. A description of the ICPP and a mechanism for implementation is provided in this article.

Key Words: acute coronary syndrome • glycoprotein IIB/IIIA receptor inhibitors • tenecteplase • percutaneous coronary intervention • ischemic chest pain protocol • enoxaparin

Journal of Pharmacy Practice, Vol. 15, No. 3, 250-266 (2002)
DOI: 10.1106/UW6Y-G2YG-VFG8
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