ACEP Emergency Department Patients With Suspected Non–ST-Elevation Acute Coronary Syndromes Guideline Summary - Guideline Central
Recommendations
Document Overview

Emergency Department Patients With Suspected Non–ST-Elevation Acute Coronary Syndromes

American College of Emergency Physicians


Publication Date: Nov 1, 2018

Page Last Updated: May 6, 2026

Level of Recommendation

Recommendation Level
LevelDefinition
AGenerally accepted principles for patient care that reflect a high degree of clinical certainty
BRecommendations for patient care that may identify a particular strategy or range of strategies that reflect moderate clinical certainty
CRecommendations for patient care that are based on evidence from Class of Evidence III studies or, in the absence of adequate published literature, based on expert consensus

Document Overview

Document Title
Emergency Department Patients With Suspected Non–ST-Elevation Acute Coronary Syndromes
Authoring Society

American College of Emergency Physicians

Document Publication Date
Nov 1, 2018
Page Last Reviewed/Updated
May 6, 2026
Document Type
Guideline
Country of Publication
United States
Full Text Freely Available
Yes
Full Text Guideline
www.acep.org/globalassets/new-pdfs/clinical-policies/nste.acs.2.2018.final.pdf
Source Citation

Ann Emerg Med. 2018;72:e65-e106.

Document Scope, Criteria, and Use Cases

Document Objectives
This clinical policy from the American College of Emergency Physicians addresses key issues in the evaluation and management of patients with suspected non–STelevation acute coronary syndromes.
Scope
Assessment and Screening, Management, Treatment
Diseases/Conditions (MeSH)

D004635 - Emergency Medicine

D009203 - Myocardial Infarction

D000072658 - Non-ST Elevated Myocardial Infarction

D009203 - Myocardial Infarction

D004635 - Emergency Medicine

D000072658 - Non-ST Elevated Myocardial Infarction

Keywords
emergency medicine, myocardial infarction (MI), nstemi
Target Patient Population
Patients with NSTEMI
Inclusion Criteria
Female, Male, Adolescent, Adult, Older Adult
Health Care Settings
Emergency Care
Intended Users
Nurse, Nurse Practitioner, Paramedic/EMT, Physician, Physician Assistant

Recommendation Development Processes & Methodology

Number of Source Documents
104
Literature Search Start Date
Saturday, January 1, 2005
Literature Search End Date
Friday, December 8, 2017
Includes peer/external review process?
Yes
Methodologist involvement?
Yes
Includes multi-disciplinary group?
Yes
Includes systematic review?
Yes
Grades quality of strength of evidence?
Yes
Grades quality of strength of recommendation?
Yes
Discloses funding source?
Yes
Discloses conflicts of interest?
Yes
Includes benefits/harms analysis with recommendations?
Yes
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