Quality standards help you improve the quality of care you provide or commission. It describes high-quality care in priority areas for improvement. Acute coronary syndromes are medical emergencies that include myocardial infarction (heart attack) and unstable angina (unexpected, severe chest pain). Myocardial infarction with non-obstructive coronary arteries and alternative diagnoses, Long-term management of non-ST-segment elevation acute coronary syndrome (Supplementary data), Gaps in evidence for non-ST-segment elevation acute coronary syndrome care and future research. Acute coronary syndrome is a medical term used to describe problems that occur when there isn’t enough blood flow to the heart. The COVID-19 pandemic has resulted in many elective procedures being put on hold, and this has led to a substantial … Acute coronary syndromes are medical emergencies that include myocardial infarction (heart attack) and unstable angina (unexpected, severe chest pain). Non-ST Elevation Acute Coronary Syndromes. The leading symptominitiating the diagnostic and therapeutic cascade in patients with suspected ACS is acute chest discomfort described as pain, pressure, tightness, and burning. Cancer Screening Guidelines. Our mission: To reduce the burden of cardiovascular disease. For more info read the Full Text and the Supplementary Data documents. Heart attack and unstable angina (sudden chest pain that typically occurs when someone is at rest) are two examples. Guideline It ranges from cardiac arrest, electrical or haemodynamic instability with cardiogenic shock (CS) due to ongoing ischaemia or mechanical complications such as severe mitral regurgitation, to patients who are already pain free again at the time of presentation. Last updated: Quality standard [QS68] Find out how to use quality standards and how we develop them. 2019 New major recommendations  414 Changes in major recommendations  416 Basic biochemistry testing in the initial diagnostic management of patients with suspected coronary artery disease  419 Resting electrocardiogram in the initial diagnostic management of patients with suspected coronary artery disease  420 We check our quality standards every August to make sure they are up to date. The clinical presentation of acute coronary syndromes (ACS) is broad. It ranges from cardiac arrest, electrical or haemodynamic instability with cardiogenic shock (CS) due to ongoing ischaemia or mechanical complications such as severe mitral regurgitation, to patients who are already pain free again at the time of presentation. ESC Clinical Practice Guidelines. Learn what screening tests the American Cancer Society recommends, when you should have them, and how they are covered under some types of insurance. It describes high-quality care in priority areas for improvement. Reference European Heart Journal, doi/10.1093/eurheartj/ehv320, Reference Web Addenda - doi:10.1093/eurheartj/ehv320, Reference Q&A antithrombotic treatment NSTE-ACS GL - doi:10.1093/eurheartj/ehv407, Reference Q&A myocardial revascularization NSTE-ACS GL - doi:10.1093/eurheartj/ehv408, Reference Q&A diagnosis and risk assessment NSTE-ACS GL - doi:10.1093/eurheartj/ehv409, Reference European Heart Journal (2011) 32, 2999–3054, Association for Acute CardioVascular Care, European Association of Preventive Cardiology, European Association of Cardiovascular Imaging, European Association of Percutaneous Cardiovascular Interventions, Association of Cardiovascular Nursing & Allied Professions, Working Group on Atherosclerosis and Vascular Biology, Working Group on Cardiac Cellular Electrophysiology, Working Group on Pulmonary Circulation & Right Ventricular Function, Working Group on Aorta and Peripheral Vascular Diseases, Working Group on Myocardial & Pericardial Diseases, Working Group on Adult Congenital Heart Disease, Working Group on Development, Anatomy & Pathology, Working Group on Coronary Pathophysiology & Microcirculation, Working Group on Cellular Biology of the Heart, Working Group on Cardiovascular Pharmacotherapy, Working Group on Cardiovascular Regenerative and Reparative Medicine, Guidelines and National Cardiac Societies, Universal definition of myocardial infarction, Unstable angina in the era of high-sensitivity cardiac troponin assays, Number and breakdown of classes of recommendations (Supplementary data), Clinical presentation (Supplementary data), Physical examination (Supplementary data), Biomarkers: high-sensitivity cardiac troponin, Rapid ‘rule-in’ and ‘rule-out’ algorithms, Electrocardiogram indicators (Supplementary data), Clinical scores for risk assessment (Supplementary data), Peri-interventional anticoagulant treatment, Peri-interventional antiplatelet treatment, Post-interventional and maintenance treatment, Pharmacological treatment of ischaemia (Supplementary data), Supportive pharmacological treatment (Supplementary data), Nitrates and beta-blockers (Supplementary data), Managing oral antiplatelet agents in patients requiring long-term oral anticoagulants, Patients with atrial fibrillation without mechanical prosthetic heart valves or moderate-to-severe mitral stenosis undergoing percutaneous coronary intervention or managed (Supplementary data), Patients requiring vitamin K antagonists or undergoing coronary artery bypass surgery, Management of acute bleeding events (Supplementary data), General supportive measures (Supplementary data), Bleeding events on antiplatelet agents (Supplementary data), Bleeding events on vitamin K antagonists (Supplementary data), Bleeding events on non-vitamin K antagonist oral anticoagulants (Supplementary data), Non-access-related bleeding events (Supplementary data), Bleeding events related to percutaneous coronary intervention (Supplementary data), Bleeding events related to coronary artery bypass surgery (Supplementary data) 68, Recommendations for bleeding management and blood transfusion in non-ST-segment elevation acute coronary syndromes for anticoagulated patients, Invasive coronary angiography and revascularization, Routine invasive vs. selective invasive approach (Supplementary data), Pattern of coronary artery disease in non-ST-segment elevation acute coronary syndrome (Supplementary data), How to identify the culprit lesion? 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