Case-based clinical characteristics, management and in-hospital outcomes of patients with the acute coronary syndrome will be discussed with the latest guidelines and clear take-home message. Dr. Parikh discusses critical points to remember on the management of patients with non–ST-elevation acute coronary syndromes (NSTE-ACS) Patients with suspected ACS should be risk stratified based on the likelihood of ACS and adverse outcome(s) to decide on the need for hospitalization and assist in the selection of treatment options.
In patients with chest pain or other symptoms suggestive of ACS, a 12-lead electrocardiogram (ECG) should be performed and evaluated for ischemic changes within 10 minutes of the patient’s arrival at an emergency facility. Cardiac-specific troponin (troponin I or T with a contemporary assay) levels should be measured at presentation and 3-6 hours after symptom onset…
