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Acute coronary syndrome

Prevalence
Clinical features
Differential diagnosis
Investigations
Therapy
Prevention
Prognosis
Prognosis

Patients are at increased risk of dying, having an MI or requiring revascularisation with:
  •  ST depression on ECG a b , particularly within 24 h of admission b

Why?

ST depression ncreases the risk of dying

Patient Prognostic factor Outcome CER OR
 (95% CI)		 NNT
(95% CI)
unstable angina a baseline ST depression
independent 		death or MI  
at 6 months 		7.6% 2.81 
(1.45 to 5.47)		 9 
(4 to 33)

 

Expiry date: June 2003
Levels of Evidence used in grading these guides

Authors   CM   Ball , N   Shenker
Reviewer   I K   Jang
CAT Writers   N   Shenker , CJ   Wotton , CM   Ball , RS   Phillips