Unstable Angina and Non-STEMI: Risk Assessment and Management

Author: Jason M Kendall / Editor: Tajek B Hassan / Reviewer: Stewart McMorran, Jon Bailey / Codes: / Published: 01/05/2023

This session covers the risk stratification and management of unstable angina and non-ST-segment elevation myocardial infarction.

Before commencing this session you should:

  • Be able to interpret ECGs
  • Complete Module session: Chest Pain Syndromes
  • Complete Module session: Acute Coronary Syndromes: Pathophysiology and Presentation

After completing this session you will be able to:

  • Perform a risk stratification as part of the assessment and management of non-ST-elevation acute coronary syndromes (ACS)
  • Describe the initial management of ACS in terms of anti-thrombotic and anti-ischaemic pharmacological therapy
  • Describe the relationship between pharmacological and mechanical strategies in the management of ACS
  • Determine for which patients aggressive pharmacological and mechanical therapies are appropriate

References:

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  2. Task Force for Diagnosis and Treatment of Non-ST-Segment Elevation Acute Coronary Syndromes of European Society of Cardiology; Bassand JP, Hamm CW, et al. Guidelines for the diagnosis and treatment of non-ST-segment elevation acute coronary syndromes. Eur Heart J. 2007 Jul;28(13):1598-660.
  3. National Institute for Health and Care Excellence. Acute coronary syndromes. [NICE Guideline No. 185] 2020.
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  10. Fifth Organization to Assess Strategies in Acute Ischemic Syndromes Investigators; Yusuf S, Mehta SR, Chrolavicius S, Afzal R, Pogue J, et al. Comparison of fondaparinux and enoxaparin in acute coronary syndromes. N Engl J Med. 2006 Apr 6;354(14):1464-76.
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