Question

A 67-year-old man presents with chest discomfort and troponin elevation consistent with a non-ST elevation myocardial infarction (NSTEMI). His GRACE score is high. He is haemodynamically stable. What is the most appropriate management strategy according to NICE guidance?

Accepted Answer

Offer early coronary angiography with a view to revascularisation within 24–72 hours

Answer

Conservative management with discharge on Aspirin alone

Answer

Delay angiography for at least 2 weeks to allow infarct healing

Answer

Discharge with outpatient exercise tolerance testing only

Answer

Treat with long-term Warfarin instead of antiplatelets

Practice question

A 67-year-old man presents with chest discomfort and troponin elevation consistent with a non-ST elevation myocardial infarction (NSTEMI). His GRACE score is high. He is haemodynamically stable. What is the most appropriate management strategy according to NICE guidance?