Non-ST-Elevation Acute Coronary Syndromes

Published: September 2014
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  • Key Points 
  • Figures 
    • Acute Coronary Syndromes 
    • GRACE Risk Model Nomogram 
    • Patient Management Algorithm 
  • Recommendation Tables 
    • TIMI Risk Score 
    • Clinical Assessment and Initial Evaluation 
    • ED or Outpatient Facility Presentation
    • Early Risk Stratification   
    • Cardiac Biomarkers and the Universal Definition of MI
    • Standard Medical Therapies 
    • Inhibitors of the Renin-Angiotensin-Aldosterone System 
    • Initial Antiplatelet/Anticoagulant Therapy 
    • Early Invasive and Ischemia-Guided Strategies 
    • Risk Stratification Before Discharge 
    • Myocardial Revascularization 
    • Timing of Urgent CABG 
    • Discharge From the ED 
    • Factors Associated With Appropriate Selection of Early Invasive Strategy or Ischemia-Guided Strategy 
    • Dosing of Parenteral Anticoagulants During PCI
    • Late Hospital Care, Hospital Discharge, and Post-hospital Discharge Care
    • Quality of Care and Outcomes 
    • Special Patient Groups
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The American College of Cardiology (ACC) continues to transform quality cardiovascular care and improve heart health after more than 60 years of existence through its mission, vision and values. The College is proud of its efforts to bring evidence-based clinical care into everyday practice.

Our mission is to build healthier lives, free of cardiovascular diseases and stroke. That single purpose drives all we do. AHA's Professional Membership is a made up of a robust group of cardiovascular professionals who participate in discovery and dissemination of science.


This pocket guide attempts to define principles of practice that should produce high-quality patient care. It is applicable to specialists, primary care, and providers at all levels. This pocket guide should not be considered exclusive of other methods of care reasonably directed at obtaining the same results. The ultimate judgment concerning the propriety of any course of conduct must be made by the clinician after consideration of each individual patient situation. Neither IGC, the medical associations, nor the authors endorse any product or service associated with the distributor of this clinical reference tool.


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