Disclaimer
is Guideline 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. is Guideline
should not be considered exclusive of other methods of care reasonably directed at obtaining the
same results. e ultimate judgment concerning the propriety of any course of conduct must be
made by the clinician aer 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.
Abbreviations
ACE, angiotensin-converting enzyme; ACS, acute coronary syndrome; ACT, activated
clotting time; ASA, aspirin; BP, blood pressure; CABG, coronary artery bypass gra;
CAD, coronary artery disease; CCB, calcium channel blocker; CKD, chronic kidney
disease; CK-MB, creatine kinase myocardial isoenzyme; COR, Class of Recommendation;
CPG, clinical practice guideline; CrCl, creatinine clearance; DAPT, dual antiplatelet
therapy; DES, drug-eluting stent; Dx, diagnosis; ECG, electrocardiogram; ED, emergency
department; GDMT, guideline-directed medical therapy; GFR, glomerular filtration
rate; GP, glycoprotein; GPI, glycoprotein IIb/IIIa inhibitor; GRACE, Global Registry
of Acute Coronary Events ; HF, heart failure; h, hour(s); IV, intraenous; LOE, Level of
Evidence; LV, le ventricular; LVEF, le ventricular ejection fraction; MI, myocardial
infarction; MACE, major adverse cardiac event; min, minute(s); mo, month(s); N/A,
not available; NSAIDs, nonsteroidal anti-inflammatory drugs; NSTE-ACS, non–ST-
elevation acute coronary syndrome; NSTEMI, non–ST-elevation myocardial infarction;
NQMI, non–Q-wave myocardial infarction; PCI, percutaneous coronary intervention;
QwMI, Q-wave myocardial infarction; SC, subcutaneous; SBP, systolic blood pressure;
STEMI, ST-elevation myocardial infarction; TIMI, rombolysis In Myocardial
Infarction; UA, unstable angina; UFH, unfractionated heparin; VF, ventricular
fibrillation; VT, ventricular tachycardia
Source
Amsterdam EA, Wenger NK, Brindis RG, et al. 2014 AHA/ACC Guideline for the
Management of Patients With Non-ST-Elevation Acute Coronary Syndromes: A
Report of the American College of Cardiolog y/American Heart Association Task Force
on Practice Guidelines. J Am Coll Cardiol. 2014;64(24):e139-e228. Copublished in
Circulation. 2014;130(25):e344-426.
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