PMID- 37043080 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20230718 IS - 2193-8261 (Print) IS - 2193-6544 (Electronic) IS - 2193-6544 (Linking) VI - 12 IP - 2 DP - 2023 Jun TI - Clinical Decision Pathway for the Use of Fondaparinux in the Management of Acute Coronary Syndrome (ACS) in Hospitals with and Without Catheter Laboratories: An Expert Opinion from India. PG - 261-274 LID - 10.1007/s40119-023-00312-x [doi] AB - The current recommendations by Indian experts who are focused on the challenges in the management of patients with acute coronary syndrome (ACS) in rural areas, due to limited catheterization (CATH) lab facilities and interventional cardiologist coverage across the country, are described. 120 cardiologist experts drafted recommendations during ten advisory board meetings conducted from April to May 2022. Experts framed statements based on experience, collective clinical judgment from practical experience, and available scientific evidence regarding ACS. The consensus positioned fondaparinux as highly useful in non-CATH-lab-based hospitals for patients diagnosed with non-ST elevation acute coronary syndrome (NSTE-ACS) and ST elevation acute coronary syndrome (STE-ACS) patients who cannot be shifted to percutaneous coronary intervention (PCI)-capable centres, or for patients who are thrombolysed at peripheral centres. CI - (c) 2023. The Author(s). FAU - Ray, Saumitra AU - Ray S AD - AMRI Hospital, Kolkata, India. FAU - Shivdasani, Bharat AU - Shivdasani B AD - Jaslok Hospital, Mumbai, India. rishitamondal@drreddys.com. FAU - Mohan, Jagdish Chander AU - Mohan JC AD - Institute of Heart and Vascular Disorders, Jaipur Golden Hospital, New Delhi, India. FAU - Shah, V T AU - Shah VT AD - Dr. V T Shah Diagnostic Centre & Clinic, Mumbai, 8595513162, India. FAU - Hiremath, Jagdish AU - Hiremath J AD - Heart Transplant Department, Ruby Hall Clinic, Pune, India. FAU - Karnik, Rajiv AU - Karnik R AD - Asian Heart Institute, Mumbai, India. FAU - Desai, Bhupen AU - Desai B AD - Desai Heart Care Clinic, Mumbai, India. FAU - Madan, Hemant AU - Madan H AD - Dharamshila Narayana Superspeciality Hospital, Delhi, India. FAU - Garg, Rajeev AU - Garg R AD - Aware Gleneagles Global Hospitals, Hyderabad, India. FAU - Christopher, Johann AU - Christopher J AD - Gurunanak Care Hospital, Hyderabad, India. LA - eng PT - Journal Article PT - Review DEP - 20230412 PL - England TA - Cardiol Ther JT - Cardiology and therapy JID - 101634495 PMC - PMC10209367 OTO - NOTNLM OT - Acute coronary syndrome OT - Anticoagulant OT - Fondaparinux OT - Percutaneous coronary intervention COIS- Saumitra Ray, Bharat Shivdasani, Jagdish Chander Mohan, V. T. Shah, Jagdish Hiremath, Rajiv Karnik, Bhupen Desai, Hemant Madan, Rajeev Garg, and Johann Christopher have nothing to disclose. EDAT- 2023/04/13 06:00 MHDA- 2023/04/13 06:01 PMCR- 2023/04/12 CRDT- 2023/04/12 11:18 PHST- 2022/12/22 00:00 [received] PHST- 2023/03/22 00:00 [accepted] PHST- 2023/04/13 06:01 [medline] PHST- 2023/04/13 06:00 [pubmed] PHST- 2023/04/12 11:18 [entrez] PHST- 2023/04/12 00:00 [pmc-release] AID - 10.1007/s40119-023-00312-x [pii] AID - 312 [pii] AID - 10.1007/s40119-023-00312-x [doi] PST - ppublish SO - Cardiol Ther. 2023 Jun;12(2):261-274. doi: 10.1007/s40119-023-00312-x. Epub 2023 Apr 12.