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Acute coronary syndromes in adults

  • Quality standard
  • Reference number: QS68
  • Published:  05 September 2014
  • Last updated:  18 November 2020
  • Quality standard
  • Tools and resources
  • History
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  • Overview
  • Quality statements
  • Quality statement 1: Diagnosis of acute myocardial infarction
  • Quality statement 2: Risk assessment for adults with NSTEMI or unstable angina
  • Quality statement 3: Coronary angiography and PCI within 72 hours for NSTEMI or unstable angina
  • Quality statement 4: Coronary angiography and PCI for adults with NSTEMI or unstable angina who are clinically unstable
  • Quality statement 5: Level of consciousness and eligibility for coronary angiography and primary PCI
  • Quality statement 6: Primary PCI for acute STEMI
  • Update information
  • About this quality standard

Update information

November 2020: Changes have been made to align this quality standard with the updated NICE guideline on acute coronary syndromes. Statement 3 was amended to reflect that not all people in this group will have early invasive intervention (coronary angiography, with PCI if indicated), in line with the updated recommendations. The source guidance and references were also updated.

Minor changes since publication

January 2017: Definition updated for statement 1 to reflect changes to NICE's guideline on recent-onset chest pain of suspected cardiac origin.


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