19
Figure
5.
Timing
of
Invasive
Strategy
in
Patients
With
NSTE-ACS
Colors
correspond
to
Class
of
Recommendations
and
Level
of
Evidence
tables
on
pages
48–49.
*
www.mdcalc.com/grace-acs-risk-mortality-calculator
NSTE-ACS
Refractory
angina
or
hemodynamic
or
electrical
instability
In
initially
stabilized
patients
who
are
at
intermediate
or
low
risk
for
clinical
events
At
high
risk
(e.g.,
GRACE
score*
>140)
for
clinical
events
Immediate
invasive
strategy
(1)
Early
invasive
strategy
within
24
h
(2a)
Invasive
strategy
with
intent
to
perform
revascularization
before
hospital
discharge
(2a)
Cardiogenic
shock
