NSTEMI / UA

Ischaemia

Recognition

  • • ST depression ≥0.5 mm
  • • T-wave inversion
  • • Transient ST changes

Key findings

  • • Dynamic changes with pain
  • • May be normal between episodes

Clinical importance

  • • Risk-stratify with GRACE/TIMI
  • • Troponin defines NSTEMI vs UA

Management pearls

  • • DAPT + anticoagulation
  • • Angiography within 24–72 h (risk-based)
  • • Statin, beta-blocker, ACEi

Related in WardRound

WardRound

WardRound

Clinical Decisions in Seconds