NSTEMI/UA committed. Risk-stratify and decide invasive strategy timing; dual antiplatelet + anticoagulation while stable.
Authored pathway active · cardio.nstemi.acute.ed
NSTEMI/UA committed. Risk-stratify and decide invasive strategy timing; dual antiplatelet + anticoagulation while stable.
Guidelines: ACC/AHA 2014/2021 NSTE-ACS Guideline · ESC 2023 ACS Guideline · ACC/AHA 2025 Chest Pain Evaluation
Phenotypes (5)
- Very-High-Risk NSTE-ACS — Emergent (< 2 h) Invasive
- High-Risk NSTE-ACS — Early Invasive (< 24 h)
- Intermediate-Risk NSTE-ACS — Selective Invasive (< 72 h)
- Low-Risk Chest Pain — Ischemia Evaluation (No Troponin Rise)
- +1 more
Red flags (6)
- Hemodynamic instability or cardiogenic shock (SBP < 90, lactate ≥ 2, cool/clammy, AMS)CRITICAL
- Refractory or recurrent angina with dynamic ST changes despite medical therapyCRITICAL
- Sustained VT/VF, hemodynamically significant arrhythmia, or new high-grade AV blockCRITICAL
- Acute heart failure / cardiogenic pulmonary edema (Killip III–IV)CRITICAL
- +2 more
Pathway-scoped symptom and exam intake
Test this pathway's ROS and differential links
Uses LR engine cardio.nstemi.core.v1, then routes suggested engines into the workspace.
19-panel workspace
cardio.nstemi.acute · EmergencyStart patient workup
Open a scratch or linked encounter, add active problems, then keep labs, fluids, acid-base, and electrolyte tools beside the main workspace instead of losing context.
Encounter and problems
No encounter open. Add a problem to create a scratch encounter when none is open.
Multi-window tools
Unified
labs + fluids + acid-base
Labs
fast lab analyzer
Fluid
resuscitation and balance
Electrolytes
Na/K/Mg/Phos/Ca
ABG/VBG
compensation and mixed disorders
Popular entry points
6 quick-startsOr jump straight to the atlas
The Engine Atlas covers every authored disease package with setting chips and pathway badges. Open any engine to load its 19-panel workspace, backed by phenotype-aware reasoning and monitored by the Flow Assistant.