2015 ESC NSTEMI guidelines

33

Transcript of 2015 ESC NSTEMI guidelines

Page 1: 2015 ESC NSTEMI guidelines
Page 2: 2015 ESC NSTEMI guidelines

Anginal pain in NSTE-ACS patients may have the following presentations:

* Prolonged (.20 min) anginal pain at rest;

* New onset (de novo) angina (class II or III of the Canadian Cardiovascular Society classification);

* Recent destabilization of previously stable angina with at least Canadian Cardiovascular Society Class III angina characteristics (crescendo angina); or

* Post-MI angina.

Clinical Presentation

Page 3: 2015 ESC NSTEMI guidelines

Diagnosis

Page 4: 2015 ESC NSTEMI guidelines

0 h/3 h rule-out algorithm of non-ST-elevation acute coronary syndromes using high-sensitivity cardiac troponin assays

Page 5: 2015 ESC NSTEMI guidelines

New: 0 h/1 h rule-in & rule-out algorithm of non-ST-elevation acute coronary syndromes using high-sensitivity cardiac troponin assays

Page 6: 2015 ESC NSTEMI guidelines

Recommendations

Page 7: 2015 ESC NSTEMI guidelines
Page 8: 2015 ESC NSTEMI guidelines

Recommendations for anti-ischaemic drugs in the acute phase

Page 9: 2015 ESC NSTEMI guidelines

Recommendations in DAPT

Page 10: 2015 ESC NSTEMI guidelines

Recommendations in DAPT

NEW

Page 11: 2015 ESC NSTEMI guidelines

Dosing of glycoprotein IIb/IIIa inhibitors in patients with normal and impaired renal function

Page 12: 2015 ESC NSTEMI guidelines

Dosing of anticoagulants in patients with normal and impaired renal function

Page 13: 2015 ESC NSTEMI guidelines

Recommendations for anticoagulation

NEW

Page 14: 2015 ESC NSTEMI guidelines

Suggested strategies to reduce bleeding risk related to PCI

NEW

Page 15: 2015 ESC NSTEMI guidelines

Antithrombotic strategies in patients with NSTEMI and non-valvular A. Fib

Page 16: 2015 ESC NSTEMI guidelines

Recommendations for combining antiplatelet agents and anticoagulants in NSTEMI patients requiring chronic

oral anticoagulation

Page 17: 2015 ESC NSTEMI guidelines
Page 18: 2015 ESC NSTEMI guidelines
Page 19: 2015 ESC NSTEMI guidelines
Page 20: 2015 ESC NSTEMI guidelines

Risk criteria mandating invasive strategy in NSTE-ACS

Page 21: 2015 ESC NSTEMI guidelines

Selection of treatment strategy and timing according to initial risk stratification.

Page 22: 2015 ESC NSTEMI guidelines

Recommendations for perioperative management of antiplatelet therapy patients requiring CABG

Page 23: 2015 ESC NSTEMI guidelines

Recommendations for invasive coronary angiography and revascularization

Page 24: 2015 ESC NSTEMI guidelines
Page 25: 2015 ESC NSTEMI guidelines
Page 26: 2015 ESC NSTEMI guidelines

Recommendations for the management of patients with heart failure NSTEMI

Page 27: 2015 ESC NSTEMI guidelines

Recommendations for long-term management after non-ST-elevation acute coronary syndromes

Page 28: 2015 ESC NSTEMI guidelines
Page 29: 2015 ESC NSTEMI guidelines

To do and not to do messagesfrom the guidelines

Page 30: 2015 ESC NSTEMI guidelines
Page 31: 2015 ESC NSTEMI guidelines
Page 32: 2015 ESC NSTEMI guidelines
Page 33: 2015 ESC NSTEMI guidelines