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Current guidelines for the management of unstable angina: a new diagnostic and management paradigm*

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The new guidelines reflect a worldwide change to more sensitive diagnostic strategies and more aggressive management of unstable angina. Stratification to high risk now includes those patients with only a minor degree of electrocardiographic ST depression (0.5 mm) or a significant elevation of cardiac troponin. High-risk patients are recommended to be treated with intensive medical and invasive management. Intermediate-risk patients may be best evaluated using an accelerated diagnostic strategy over an 8–12 h period before being reclassified as high or low risk. (Intern Med J 2001; 31: 104–111)

Keywords: guidelines; risk stratification; troponin; unstable angina

Document Type: Research Article


Affiliations: 1: Coronary Care Unit, Prince Charles Hospital, Brisbane, Queensland, 2: National Heart Foundation of Australia,

Publication date: March 1, 2001

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