Nicht-ST-Hebungsmyokardinfarkt: Invasive Diagnostik und interventionelle Therapie nach aktueller ESC-Leitlinie

Burianek, Franziska Stephanie und Mehilli, Julinda (2021): Nicht-ST-Hebungsmyokardinfarkt: Invasive Diagnostik und interventionelle Therapie nach aktueller ESC-Leitlinie. In: Aktuelle Kardiologie, Bd. 10, Nr. 2: S. 133-137

Abstract

The 2020 ESC guidelines on acute coronary syndromes in patients presenting without persisting ST-segment elevation, revise the old recommendations concerning invasive diagnostics and therapy from 2018 in several aspects. Regarding the initial risk stratification, an early invasive strategy (< 24 hours) is mainly recommended in high-risk patients, whereas an immediate invasive strategy (< 2 hours) is recommended in very high-risk patients. Successfully out-of-hospital resuscitated patients with stable hemodynamics and without ST-segment elevations no longer need to undergo immediate invasive diagnostics, but nonetheless should be invasively clarified with short delay. Regarding technical and procedural aspects, the previous recommendation for complete revascularization in stable patients with multivessel disease has been further upgraded. Overall, a complete revascularization should be considered, and this can but does not have to be achieved during the index procedure. Furthermore, FFR measurement of non-culprit lesions can be performed during the index procedure. By default, the radial access route should be selected for NSTE-ACS patients.

• Dokumententyp: Zeitschriftenartikel
• Fakultät: Medizin
• Themengebiete: 600 Technik, Medizin, angewandte Wissenschaften > 610 Medizin und Gesundheit
• ISSN: 2193-5203
• Sprache: Deutsch