Unstable angina/ NSTEMI resident survival guide: Difference between revisions
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{{familytree | | | | K01 | | K02 | | | | | K01= NEGATIVE <br> ❑ Continue Aspirin <br> ❑ Continue with clopidrogel or ticagelor for 12 months <br> | {{familytree | | | | K01 | | | K02 | | | | | K01= NEGATIVE <br> ❑ Continue Aspirin <br> ❑ Continue with clopidrogel or ticagelor for 12 months <br> | ||
❑ Discontinue with GP inhibitors <br> ❑ UFH (for 48hrs) or Enoxiparin (for 8 dyas) | ❑ Discontinue with GP inhibitors <br> ❑ UFH (for 48hrs) or Enoxiparin (for 8 dyas) | ||
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Revision as of 17:05, 27 January 2014
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Definition
Causes
Life Threatening Causes
Common Causes
Management
Diagnosis
Treatment
| ❑ Administer 300mg Aspirin immediately after hospital admission ❑ Administer oxygen in patients with saturation <90% | |||||||||||||||||||||||||||||||||||||||||
| Determine Risk of adverse coronary event (TIMI) | |||||||||||||||||||||||||||||||||||||||||
| LOW RISK Initial conservative strategy | HIGH RISK Initial invasive strategy | ||||||||||||||||||||||||||||||||||||||||
| ❑ Administer 300mg of copidogrel ❑ Administer fondoparinaux or UFH in case of renal failure | ❑ Administer IV GP IIb/IIIa inhibitors (eptifibatide or tirofiban) OR ❑ Administer Bivalirudin | ||||||||||||||||||||||||||||||||||||||||
| Perform a Stress test | Angiography | ||||||||||||||||||||||||||||||||||||||||
| LOW RISK | HIGH RISK | NEGATIVE | POSITIVE | ||||||||||||||||||||||||||||||||||||||
| Recurrent symptoms? | ❑ Continue Aspirin ❑ Continue with clopidrogel or ticagelor for 12 months ❑ Discontinue with GP inhibitors ❑ UFH (for 48hrs) or Enoxiparin (for 8 dyas) | ||||||||||||||||||||||||||||||||||||||||
| NO | ❑ heart faillure ❑ serious arrhythmias ❑ subsequent isquemia | ||||||||||||||||||||||||||||||||||||||||
| Continue Aspirin ❑ Continue with clopidrogel or ticagelor for 12 months ❑ Discontinue with GP inhibitors ❑ UFH (for 48hrs) or Enoxiparin (for 8 dyas | |||||||||||||||||||||||||||||||||||||||||
| INTENSIVE STRATEGY - ANGIOGRAPHY | |||||||||||||||||||||||||||||||||||||||||
| NEGATIVE ❑ Continue Aspirin ❑ Continue with clopidrogel or ticagelor for 12 months ❑ Discontinue with GP inhibitors ❑ UFH (for 48hrs) or Enoxiparin (for 8 dyas) | |||||||||||||||||||||||||||||||||||||||||