Unstable angina / non ST elevation myocardial infarction Risk Stratification Before Discharge for Patients With an Ischemia-Guided Strategy of NSTE-ACS
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2014 AHA/ACC Guideline for the Management of Patients With Non–ST-Elevation Acute Coronary Syndromes (DO NOT EDIT) [1]
Risk Stratification Before Discharge for Patients With an Ischemia-Guided Strategy of NSTE-ACS
| Class I |
| "1.Noninvasive stress testing is recommended in low- and intermediate-risk patients who have been free of ischemia at rest or with low-level activity for a minimum of 12 to 24 hour(Level of Evidence: B)" |
| "2.Treadmill exercise testing is useful in patients able to exercise in whom the ECG is free of resting ST changes that may interfere with interpretation (Level of Evidence: C)" |
| "3.Stress testing with an imaging modality should be used in patients who are able to exercise but have ST changes on resting ECG that may interfere with interpretation. In patients undergoing a low-level exercise test, an imaging modality can add prognostic information (Level of Evidence: B)" |
| "4.Pharmacological stress testing with imaging is recommended when physical limitations preclude adequate exercise stress(Level of Evidence: C)" |
| "5.A noninvasive imaging test is recommended to evaluate LV function in patients with definite ACS (Level of Evidence: C)" |
- ↑ Ezra A. Amsterdam, MD, FACC; Nanette K. Wenger, MD et al.2014 AHA/ACC Guideline for the Management of Patients With Non–ST-Elevation Acute Coronary Syndromes. A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. JACC. September 2014 (ahead of print)