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Line 58:
Line 58: − + − **'''No role for thrombolytic therapy in NSTEMI'''
→Unstable Angina/NSTEMI
=Acute Coronary Syndromes=
=Acute Coronary Syndromes=
==Unstable Angina/NSTEMI==
==Unstable Angina/NSTEMI==
*Tx: NSTEMI with '''high risk features (refractory pain, TIMI score ≥ 3)''' should get PCI
*Tx: NSTEMI with '''high risk features (refractory pain, TIMI score ≥ 3)''' should get PCI. '''No role for thrombolytic therapy in NSTEMI'''
** MONA BAsH—'''morphine/metoclopramide (for pain/nausea), oxygen (if SpO2 <95%/breathless), nitrates, ASA, β-blockers (''if LVEF < 40%, HTN, tachycardic''), Antiplatelet (if doing angioplasty/stenting, prasugrel or ticagrelor are preferred agents), (spironolactone?), Heparin (LMWH)'''.
** MONA BAsH—'''morphine/metoclopramide (for pain/nausea), oxygen (if SpO2 <95%/breathless), nitrates, ASA, β-blockers (''if LVEF < 40%, HTN, tachycardic''), Antiplatelet (if doing angioplasty/stenting, prasugrel or ticagrelor are preferred agents), (spironolactone?), Heparin (LMWH)'''.
** Send home on 12 months DAPT (if stending/angioplasty performed), ACEI/ARB, and statin.
** Send home on 12 months DAPT (if stending/angioplasty performed), ACEI/ARB, and statin.