2015 ESC Guidelines for the management of acute coronary syndromes in patients presenting without persistent st-segment elevation: Task force for the management of acute coronary syndromes in patients presenting without persistent ST-segment elevation of the european society of cardiology (ESC)

Marco Roffi*, Carlo Patrono, Jean Philippe Collet, Christian Mueller, Marco Valgimigli, Felicita Andreotti, Jeroen J. Bax, Michael A. Borger, Carlos Brotons, Derek P. Chew, Baris Gencer, Gerd Hasenfuss, Keld Kjeldsen, Patrizio Lancellotti, Ulf Landmesser, Julinda Mehilli, Debabrata Mukherjee, Robert F. Storey, Stephan Windecker, Jose Luis ZamoranoVictor Aboyans, Stephan Achenbach, Stefan Agewall, Lina Badimon, Gonzalo Barón-Esquivias, Helmut Baumgartner, Héctor Bueno, Scipione Carerj, Veronica Dean, Çetin Erol, Donna Fitzsimons, Oliver Gaemperli, Paulus Kirchhof, Philippe Kolh, Gregory Y H Lip, Petros Nihoyannopoulos, Massimo F. Piepoli, Piotr Ponikowski, Adam Torbicki, Antonio Vaz Carneiro

*Corresponding author for this work

Research output: Contribution to journalReview article

2980 Citations (Scopus)

Abstract

This section summarises the diagnostic and therapeutic steps discussed in the previous sections. The goal is to outline the most important steps in the management of patients with NSTE-ACS. In each individual patient, decision making should take into account the patient's history (e.g. age, comorbidities), clinical presentation (e.g. ongoing myocardial ischaemia, haemodynamic or electrical instability), findings obtained during the initial assessment (i.e. ECG, cardiac troponin), timing and expected risk-benefit ratio of available therapies (i.e. pharmacological, invasive assessment, revascularization).

Original languageEnglish
Pages (from-to)267-315
Number of pages49
JournalEuropean Heart Journal
Volume37
Issue number3
DOIs
Publication statusPublished - 14 Jan 2016

Keywords

  • Acute cardiac care
  • Acute coronary syndromes
  • Angioplasty
  • Anticoagulation
  • Apixaban
  • Aspirin
  • Atherothrombosis
  • Beta-blockers
  • Bivalirudin
  • Bypass surgery
  • Cangrelor
  • Chest pain unit
  • Clopidogrel
  • Dabigatran
  • Diabetes
  • Early invasive strategy
  • Enoxaparin
  • European society of cardiology
  • Fondaparinux
  • Glycoprotein IIb/IIIa inhibitors
  • Guidelines
  • Heparin
  • High-sensitivity troponin
  • Myocardial ischaemia
  • Nitrates
  • Non-ST-elevation myocardial infarction
  • Platelet inhibition
  • Prasugrel
  • Recommendations
  • Revascularization
  • Rhythm monitoring
  • Rivaroxaban
  • Statin
  • Stent
  • Ticagrelor
  • Unstable angina
  • Vorapaxar

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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    Roffi, M., Patrono, C., Collet, J. P., Mueller, C., Valgimigli, M., Andreotti, F., Bax, J. J., Borger, M. A., Brotons, C., Chew, D. P., Gencer, B., Hasenfuss, G., Kjeldsen, K., Lancellotti, P., Landmesser, U., Mehilli, J., Mukherjee, D., Storey, R. F., Windecker, S., ... Carneiro, A. V. (2016). 2015 ESC Guidelines for the management of acute coronary syndromes in patients presenting without persistent st-segment elevation: Task force for the management of acute coronary syndromes in patients presenting without persistent ST-segment elevation of the european society of cardiology (ESC). European Heart Journal, 37(3), 267-315. https://doi.org/10.1093/eurheartj/ehv320