Sandbox: USAP/NSTMI
ACC/AATS/AHA/ASE/ASNC/SCAI/ SCCT/STS 2016 Appropriate Use Criteria for Coronary Revascularization in Patients With Acute Coronary Syndromes
NSTEMI/Unstable Angina
| Indication | Appropriate Use Score (1–9) |
|---|---|
| Revascularization by PCI or CABG | |
| Evidence of cardiogenic shock - Immediate revascularization of 1 or more coronary arteries | A(9) |
| Patient stabilised - Intermediate OR high-risk features for clinical events (e.g., TIMI score 3–4) - Revascularization of 1 or more coronary arteries | A(7) |
| Patient stabilised after presentation - Low risk measures for clinical events (e.g., TIMI score ≤ 2) - Revascularization of 1 or more coronary arteries | M (5) |
| A = appropriate; CABG = coronary artery bypass graft; HF = heart failure; M = may be appropriate; PCI = percutaneous coronary intervention; R = rarely appropriate; STEMI = ST-segment elevation myocardial infarction. Median Score 7 to 9: Appropriate Care, Median Score 4 to 6: May Be Appropriate Care, Median Score 1 to 3: Rarely Appropriate Care | |