Unstable angina
ICD-10 I20.0 · ICD-11 BA40.0

Treatment of Suspected Unstable Angina in NSTE-ACS with a High Index of Suspicion, Without High-Risk Criteria

This protocol applies to patients presenting with a working diagnosis of NSTE-ACS and a high clinical suspicion for unstable angina, who do not fulfil very high-risk or high-risk NSTE-ACS criteria.

Clinical Scenario

Working diagnosis of NSTE-ACS with a high index of suspicion for unstable angina — without very high-risk and without high-risk NSTE-ACS criteria. In this setting, an inpatient invasive strategy during hospital admission is the recommended approach.

Treatment Approach (partial)

When coronary anatomy is found to be unsuitable for percutaneous coronary intervention, surgical revascularisation may be indicated. The complete decision criteria, pathway, and sequencing are in the full protocol.

Full regimen and decision algorithm available via the link below.

References

DOI: 10.1093/eurheartj/ehad191
  • An invasive strategy during hospital admission is recommended in NSTE-ACS patients with high-risk criteria or a high index of suspicion for unstable angina.
  • For patients with a high index of suspicion for UA, an inpatient invasive strategy is recommended.
  • In patients with coronary anatomy unsuitable for PCI, emergency CABG is recommended.
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