2015 ESC guidelines for the management of acute coronary syndromes in patients presenting without persistent ST-segment elevation: comments from the Dutch ACS working group
Population
Patients presenting with acute coronary syndromes without persistent ST-segment elevation (NSTE-ACS)
Design
Editorial
Authors
Discussion
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Member takes
Implication
Provides the Dutch ACS working group's perspective on the 2015 ESC guidelines for NSTE-ACS management.
Structured PICO
P
Population
Patients presenting with acute coronary syndromes without persistent ST-segment elevation (NSTE-ACS)
I
Intervention
2015 ESC guidelines recommendations
Provides the Dutch ACS working group's perspective on the 2015 ESC guidelines for NSTE-ACS management.
Limitations
- The scientific basis for the ESC recommendation of transferring high-risk patients within 24 hours is considered weak.
- Dutch hospitals and ambulance services lack sufficient capacity for same-day transfer of all high-risk patients.
- Bypassing non-PCI centers for diagnostic angiograms could endanger the viability of their catheterization laboratories.
Cite This Study
Damman et al. (2016) conducted an editorial in Non-ST-segment elevation acute coronary syndromes (NSTE-ACS). 2015 ESC guidelines for NSTE-ACS was evaluated. The Dutch ACS working group provides commentary on the 2015 ESC NSTE-ACS guidelines, recommending the use of high-sensitive troponin assays and individualized antithrombotic and invasive strategies.