Case challenge · Cardiology / Emergency · teaching

NSTE-ACS — Risk Stratification & Timing of Invasive Strategy · case challenge

Given a case, work through the care pathway step by step; the tool checks each choice and scores you. Decisions and basis are taken from this site's reviewed care pathways.

← View the full flowchartBased on 2023 ESC ACS

Case #1Cardiology / Emergency

📋 Case data

Risk stratificationVery-high risk

Data is taken from this pathway's reviewed node text. Work through the pathway step by step.

Step 1 / 1 · Risk stratification

Working diagnosis NSTE-ACS — which risk tier?

💡 NSTE-ACS = ACS without persistent ST-elevation (NSTEMI / unstable angina). Immediately: serial hs-cTn + ECG, dual antiplatelet + anticoagulation, monitoring. Very-high risk = hemodynamic instability/cardiogenic shock, refractory or recurrent chest pain, life-threatening arrhythmia, mechanical complication, acute heart failure due to ACS, recurrent dynamic ST-T (especially intermittent ST-elevation). High risk = confirmed NSTEMI (rise/fall of hs-cTn), dynamic ST-T, GRACE >140. Low risk = none of the above and GRACE <140.

For teaching. Decisions and their basis are taken from this site's reviewed care pathways; for licensed clinicians/trainees, this does not replace clinical judgment or local protocols.