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
WardRound

WardRound

Clinical Decisions in Seconds