2015 ESC Guidelines for the management of acute

coronary syndromes in patients presenting without

persistent ST-segment elevation
DIAGNOSIS
 Differential diagnoses of
acute coronary syndromes in the setting of acute
chest pain
0 h/3 h rule-out algorithm of non-ST-elevation acute
coronary syndromes using high-sensitivity cardiac
troponin assays.
.
 Recommendations for Diagnosis, Risk Stratification,
Imaging And Rhytm Monitoring in Patient with NSTE ACS
Pharmacological Treatment of Ischemia
Beta Blocker
Platelet Inhibition
Recommendations for platelet inhibition in non-STelevation acute coronary syndromes
Anticoagulation
Recommendations for combining antiplatelet agents and anticoagulants in
non-ST-elevation acute coronary syndrome patients requiring chronic oral
anticoagulation
Antithrombotic strategies in patients with non-ST-elevation acute coronary
syndromes (NSTE-ACS) and non-valvular atrial fibrillation.
Suggested strategies to reduce bleeding risk related to PCI
 Recommendations for bleeding management and blood
transfusion in non-ST-elevation acute coronary syndromes
Invasive Coronary Angiography &
Revascularization
Risk criteria mandating invasive strategy in NSTE-ACS
 Selection of
non-ST-elevation
acute coronary
syndromes (NSTE-
ACS)
treatment strategy
and timing
according to initial
risk stratification
 Recommendations for invasive coronary
angiography and revascularization in NSTE ACS
Recommendations for perioperative management of antiplatelet
therapy in non-ST-elevation acute coronary syndrome patients
requiring coronary artery bypass surgery
Recommendations for the management of elderly patients with
non-ST-elevation acute coronary syndromes
Recommendations for the management of diabetic patients with
non-ST-elevation acute coronary syndromes
Recommendations for the management of patients with chronic kidney
disease and non-ST-elevation acute coronary syndromes
 Recommendations for the management of patients
with acute heart failure in the setting of non-ST elevation acute
coronary syndromes
Recommendations for the management of patients with
heart failure following non-ST-elevation acute coronary
syndromes
Recommendations for the management of atrial fibrillation in patients with
non-ST-elevation acute coronary syndromes
Recommendations for the management of thrombocytopenia in non-
ST-elevation acute coronary syndromes
Recommendations for long-term management after
non-ST-elevation acute coronary syndromes
To do and not to do messages from the
guidelines
THANK YOU