Healthcare Article Analysis
According to the American Heart Association (2016), overall rate of death that were caused by the cardiovascular diseases was 222,9 per 100 000 Americans in 2013. Braunwald et al. (1994) in their article “Diagnosing and managing unstable angina” provides valuable reference guide for clinicians in diagnosing and treatment of this disease both for inpatient and outpatient settings. The authors underline that unstable angina is a clinical syndrome that is diagnosed as the middle health state between myocardial infarction and stable angina. This paper critically discusses the article emphasizing its credibility for use in the current hospitals settings.
Braunwald et al. describe in a very concise and practically applicable manner initial evaluation and treatment, outpatient care, intensive medical management, medical therapy as well as reassessing persistent symptoms. Braunwald et al. (1994) argue that in order to decrease those patients’ with satisfactory initial diagnostic results after in-hospital stay the discharge care plan for these patients should include symptoms monitoring on the continued basis, risk-factor modification, appropriate drug therapy, and professional counseling.
Braunwald et al. (1994) article is extremely useful because it sheds insight on the diagnosing and treating of the unstable angina. This guide can be used by clinicians, nurses as well as patients and families to improve their awareness of the assigned treatment. According to Braunwald et al. (1994) the continued outpatient evaluation should continue during 72 hours after initial appeal of the patients with clinical symptoms of unstable angina. This time period is proposed for those patients classified to be at low risk for complications. Careful in-hospital monitoring of the clinical course is needed for those patients who were diagnosed with acute ischemic heart disease and high or intermediate risk of complications. The authors highlight that if the physician does not have a clear confirmation of ST segment elevation and acute myocardial infarction, the intravenous thrombolytic therapy should not be administered to patients. Moreover, the authors argue that noninvasive testing prognosis often has high importance for the appropriate therapy selection. The authors recommend coronary angiography for patients diagnosed with the high risk for cardiac complications considering their results of noninvasive testing or outcomes of the clinical course. If the patients have three-vessel disease, in particular, left ventricular dysfunction or left main disease the coronary artery bypass surgery has to be recommended for almost of such patients.
Braunwald et al. (1994) provide a very useful survey to be applied by physicians and nurses during the initial diagnosing process. Moreover, all the medical treatment prescriptions are given in the adopted, systematic manner mostly in the clearly readable tables and graphs. The literature used for the systematization made is highly credible academic journals as well as theoretical updates from the leading healthcare regulatory agencies.
According to the American Heart Association (2016) a study of 65 000 patients that took part in the CRUSADE National Quality Improvement Initiative found that the preliminary education according to the AHA guideline improved the speed of actions in 74% of eligible instances. Smith, Negrelli and Manek (2015) …
