Non-ST-segment elevation syndromes

PREVIEW

Acute coronary syndromes include both ST-segment elevation myocardial infarction (MI) and the broad spectrum of non-ST-segment elevation syndromes. The latter comprise unstable angina and non-Q wave MI (ie, non-ST-segment elevation MI). Identification and management of this subset of syndromes remains a major challenge for primary care physicians, emergency medicine physicians, and cardiologists alike. In this article, Drs Santiago and Tadros review the available treatment options, evidence from major studies, and the current status of the ongoing debate over conservative versus early invasive management.