Nadarajah, R orcid.org/0000-0001-9895-9356 and Gale, C orcid.org/0000-0003-4732-382X (2021) The management of acute coronary syndromes in patients presenting without persistent ST-segment elevation: key points from the ESC 2020 Clinical Practice Guidelines for the general and emergency physician. Clinical Medicine, 21 (2). e206-e211. ISSN 1470-2118
Abstract
There have been significant advances in the diagnosis and management of non-ST-segment elevation myocardial infarction over recent years, which has been reflected in an international decline in mortality rates. This article provides an overview of the 2020 European Society of Cardiology Clinical Practice Guidelines for the topic, concentrating on areas relevant to the general or emergency physician. The recommendations and underlying evidence basis are analysed in three key areas: diagnosis (the recommendation to use high sensitivity troponin and how to apply it), pathways (the recommendation to facilitate early invasive coronary angiography to improve outcomes and shorten hospital stays) and treatment (a paradigm shift in the use of early intensive platelet inhibition). Gaps in the evidence base are highlighted, including the optimal management strategy for older people and the antiplatelet regime to consider when angiography may be delayed.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Keywords: | ACUTE CORONARY SYNDROME; NSTEMI; MYOCARDIAL INFARCTION; ESC CLINICAL PRACTICE GUIDELINE; CORONARY ANGIOGRAPHY |
Dates: |
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Institution: | The University of Leeds |
Academic Units: | The University of Leeds > Faculty of Medicine and Health (Leeds) > School of Medicine (Leeds) > Leeds Institute of Cardiovascular and Metabolic Medicine (LICAMM) > Clinical & Population Science Dept (Leeds) |
Depositing User: | Symplectic Publications |
Date Deposited: | 17 Nov 2021 13:20 |
Last Modified: | 17 Nov 2021 13:20 |
Status: | Published |
Publisher: | Royal College of Physicians |
Identification Number: | 10.7861/clinmed.2020-0879 |
Related URLs: | |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:180020 |