NSTEMI/Unstable Angina Algorithm
Note: This document provides a structured summary of the NSTEMI/Unstable Angina Algorithm for educational and reference purposes. It is not a substitute for certified ACLS training and adherence to the latest guidelines published by the American Heart Association (AHA) or other relevant governing bodies. Always consult the most current official guidelines.
Patient presents with symptoms suggestive of ACS, but no STEMI on ECG.
ABCs, O2 (if SaO2 < 90%), Aspirin, Nitroglycerin (if BP stable), Morphine (if needed), 12-lead ECG, cardiac markers.
No STEMI, but elevated cardiac markers (NSTEMI) or normal markers (Unstable Angina).
Assess patient risk (e.g., TIMI, GRACE score) for adverse cardiac events.
Antiplatelet therapy (Dual), Anticoagulation, Beta-blockers, Statins, Nitroglycerin (if ongoing pain).
Based on risk assessment, decide on early invasive strategy (PCI/CABG) or initial conservative management.
Proceed to cardiac catheterization and revascularization (PCI or CABG) as indicated.
Continue medical management. Monitor for recurrent ischemia or instability. Consider delayed angiography if needed.
Long-term medical therapy, lifestyle modifications, cardiac rehabilitation, manage risk factors.
