Post-ED NSTE-ACS: deliver invasive strategy per risk, titrate GDMT, plan discharge with secondary prevention.
Authored pathway active · cardio.nstemi.acute.inpatient
Post-ED NSTE-ACS: deliver invasive strategy per risk, titrate GDMT, plan discharge with secondary prevention.
Guidelines: ACC/AHA 2014/2021 NSTE-ACS Guideline · ESC 2023 ACS Guideline · ACC/AHA 2022 Heart Failure Guideline (for GDMT)
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
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