ACC-AHAAmerican College of Cardiology and the American Heart Association
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The women had their blood pressure measured at 25 weeks of gestation or prior, and those patients with a systolic BP between 130 mm Hg and 139 mm Hg or diastolic BP between 80 mm and 89 mm were reclassified as having stage 1 hypertension under the new ACC-AHA guidelines; outcomes were compared with normotensive women with a systolic BP of 130 mm Hg and diastolic BP of 80 mm Hg.
In 2008, the ACC-AHA recommended two performance measures for transferred patients with STEMI: Time spent at the first hospital (referring hospital) should be <30 min, and total time to primary PCI should be <90 min.
"Furthermore, 2.4 million adults with prevalent cardiovascular disease and LDL cholesterol levels of less than 100 mg per deciliter who would not be eligible for statin therapy according to the ATP III guidelines would be eligible under the new ACC-AHA guidelines.
The new ACC-AHA guidelines differ substantially from the ATP III guidelines in that they expand the treatment recommendation to all adults with known cardiovascular disease, regardless of LDL cholesterol level, and for primary prevention they recommend statin therapy for all those with an LDL cholesterol level of 70 mg/dL or higher and who also have diabetes or a 10-year risk of cardiovascular disease of 7.5% or greater based on new pooled-cohort equations.
The ACC-AHA criteria apply only to patients who have their blood pressure recorded prior to pregnancy or prior to 20 weeks of gestation.
The ACC-AHA guidelines rate the exercise ECG for the evaluation of chest pain as a class I procedure--that is, supported by convincing evidence of usefulness and effectiveness.
The new MI mortality findings provide strong support for programs such as the AHXs Get With the Guidelines (GWTG), the ACC's GAP (Guidelines Applied in Practice), and the national quality improvement program for unstable angina CRUSADE (Can Rapid Risk Stratification of Unstable Angina Patients Suppress Adverse Outcomes With Early Implementation of the ACC-AHA Guidelines), the cardiologist added.