Acute Coronary Syndrome
In this chapter, you will find Canadian guidelines for the acute management of patients presenting with a STEMI/NSTEMI and recommended drug therapy long term. The majority of resources provided are related to dual antiplatelet therapy and optimal duration of therapy for specific patients.
Student Resources
Acute Coronary Syndrome One Pager
Tools
DAPT Score
| Purpose | Assess risk of thromboembolic events to determine if patients would benefit from extended DAPT. |
| Type of Resource | Scoring tool |
| Included | Tool consists of risk factors associated with increased risk of thromboembolic events.
Interpretation of results:
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| Student Bottom Line | In all patients with a PCI who have received DAPT for 1 year, we recommend using this scoring tool to determine if patients should discontinue DAPT and continue on single anti platelet therapy or extend DAPT for up to 3 years. |
| VIEW RESOURCE | |
Thrombolysis in Myocardial Infarction Score (TIMI)
| Purpose | Assess patients risk of mortality, recurrent MI or ischemia in the next 14 days in patients with unstable angina or NSTEMI unstable angina. |
| Type of Resource | Scoring tool |
| Included | Tool consists of risk factors associated with mortality.
Interpretation of results:
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| Student Bottom Line | In patients with unstable angina or an NSTEMI, use this scoring tool to determine your patients risk of mortality or recurrent cardiovascular event. |
| VIEW RESOURCE |
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Guidelines
The Canadian Cardiovascular Society Guidelines
| Purpose | Guide treatment recommendations for patients presenting with acute STEMI. |
| Type of Resource | Guideline |
| Included |
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| Student Bottom Line | These detailed guidelines are a great source of information to review acute treatment management in patients with a myocardial infarction. |
| VIEW RESOURCE | |
The Canadian Cardiovascular Society → Duration of DAPT
| Purpose | Guide treatment recommendations for duration of DAPT in patients who undergo PCI. |
| Type of Resource | Guideline |
| Included |
|
| Student Bottom Line | In all patients with a PCI, this is a great tool to assess the optimal duration of DAPT therapy in your individual patient. |
| VIEW RESOURCE (full guidelines) – VIEW RESOURCE (pocket guidelines) | |
Post MI Care
| Purpose | Guide treatment recommendations for long term management in patients post-MI. |
| Type of Resource | Summary of trials and recommended drug therapy post MI |
| Included |
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| Student Bottom Line | A great tool with a summary of drug therapy recommended for patients with a history of MI. |
| VIEW RESOURCE | |
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