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Non–ST-Elevation Acute Coronary Syndromes

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Table of Contents Page 1 Key Points 2 Diagnosis 2 Figure 1. Acute Coronary Syndromes 4 Figure 2. GRACE Risk Model Nomogram 5 Table 1. TIMI Risk Score for NSTE-ACS Table 2. Clinical Assessment and Initial Evaluation Table 3. ED or Outpatient Facility Presentation 6 Table 4. Prognosis—Early Risk Stratification 7 Table 5. Cardiac Biomarkers and the Universal Definition of MI 8 Treatment 8 Table 6. Standard Medical Therapies 9 Table 7. Inhibitors of the Renin-Angiotensin-Aldosterone System 10 Table 8. Initial Antiplatelet/Anticoagulant Therapy in Patients With Definite or Likely NSTE-ACS 11 Table 9. Early Invasive and Ischemia-Guided Strategies 12 Figure 3. Algorithm for Management of Patients With Definite or Likely NSTE-ACS 14 Table 10. Risk Stratification Before Discharge for Patients With an Ischemia-Guided Strategy of NSTE-ACS 14 Table 11. Myocardial Revascularization 17 Table 12. Timing of Urgent CABG in Patients With NSTE-ACS in Relation to Use of Antiplatelet Agents Table 13. Discharge From the ED or Chest Pain Unit 18 Table 14. Factors Associated With Appropriate Selection of Early Invasive Strategy or Ischemia-Guided Strategy in Patients With NSTE-ACS 19 Table 15. Dosing of Parenteral Anticoagulants During PCI 20 Table 16. Late Hospital Care, Hospital Discharge, and Posthospital Discharge Care 23 Table 17. Quality of Care and Outcomes for ACS—Use of Performance Measures and Registries 24 Table 18. Special Patient Groups 28 COR and LOE

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