Non–ST-segment elevation myocardial infarction (NSTEMI)
NSTEMI type I (due to atherosclerotic plaque rupture and partially obstruction) vs type 2 (oxygen supply-demand mismatch)
Duration: ___ days
CC: chest discomfort
Onset: sudden
Course: constant
Progression: worsening
Assoc sx: pressure-like central chest pain radiating to left shoulder/neck, not relieved by rest; dyspnea, epigastric/jaw/arm pain, nausea, diaphoresis, fatigue, lightheadedness, palpitations, ± confusion (elderly), ± silent if diabetic
Neg: no pleuritic pain, no acute dyspnea/tachycardia/tachypnea/hypoxia (PE), no tearing/ripping pain to back (aortic dissection)
pertinent exam: JVP, carotid bruit, RRR ± S4/murmur, lungs (clear vs crackles), pulses intact/symmetric, extremities warm/cool, edema
pertinent Data: troponin, EKG (ST↓/T-wave inversion), CBC/CMP/Mg/coags, INR/DOAC last dose, CXR/CT, echo (RWMA/EF), prior cardiac testing, lipid panel, HbA1c, type and screen if high-risk/PCI likely, BNP if HF suspected
pertinent Hx: +/− HTN, DM, HLD, obesity, smoking; FH CAD <60
pertinent home meds: ___
DDx: NSTEMI, unstable angina, PE (less likely), aortic dissection (less likely), GERD, MSK
TIMI scores: (who needs early invasive strategy) ≥5 = high risk → early cath (≤24 hr), 3–4 = intermediate, 0–2 = low risk.
Hospital course to date: ___
Plan
Consult cardiology for risk stratification to determine cath vs noninvasive stress testing.
Ensure IV access (preferably two lines)
Telemetry, serial ECG/troponin until down trending.
check lipid panel, HbA1c, type and screen if high-risk/PCI likely, BNP if HF suspected
Sublingual nitroglycerin 0.4mg q5min up x3 doses if SBP ≥90 → gtt 5-10mcg/min titrated to pain (avoid in inferior MI, RV dsfx, PDEi use)
Morphine if symptoms persist and refractory to nitroglycerin, 2–4 mg IV slow push then 2 mg IV q5–15 min PRN Titrate carefully to pain with lowest effective dose
DAPT: 325mg load, then 81mg daily. P2y12 inhibitors (holding per Cards for possible catheterization/CABG)- clopidogrel 600mg then 75mg daily < ticagrelor 180mg load then 90mg BID (causes dyspnea) < prasugrel (if <75 and no h/o CVA)
Anticoagulation: UFH bolus (60 IU/kg (maximum 4,000 IU))and gtt (12 IU/kg per hour (maximum 1,000 IU/h) )for 48 hours or until PCI, goal PTT 60-80 checked q6; if no cath, enoxaparin until discharge (max 8 days) no need after DC. pharmacy adjusted heparin per PTT
Metoprolol titrate 25-50 q6hr for 48 hours, then increase to maintenance dose of up to 100 mg BID unless decompensated HF, HR <60, heart block, cocaine)
atorvastatin 80mg daily; consider adding ezetimibe if LDL ≥70; f/u lipid screen
For BP control: consider ACEi (captopril TID → lisinopril daily) or ARB (losartan, valsartan) if needed and renal function allows
ECG if symptomatic
Discharge care
continue DAPT for 12 months, BB, statin, ACE/ARB if needed and will discontinue anticoagulation
sublingual nitroglycerin 0.4 mg q5min PRN up to three doses
pt received counseling on smoking cessation, diet, and exercise
counseled to avoid NSAIDs and steroids
primary care follow-up, cardiology follow-up, and referral to cardiac rehabilitation On DC
Type 2 NSTEMI (supply–demand mismatch)
Myocardial injury likely secondary to ((sepsis or severe infection, tachyarrhythmias (especially AF with RVR), blood pressure extremes (hypertensive crisis or hypotension/shock), anemia, hypoxemia/respiratory failure))
chest discomfort with abrupt-onset, pressure-like chest pain located in the center of the chest, with radiation to the left shoulder or neck pain not relieved by rest
CAD risk factors ( HTN, DM HLD, Obesity, smoking, ..
family history( CAD in family age <60)
physical ( JVP, carotid bruie, murmur, long sound, peripheral pulses, extemity hot or cold extemirty , edema)
Hemodynamics/vitals
Echocardiogram:
previous cardiac testing:
CXR/CT:
Troponin:
Pertinent Initial labs:CBC, CMP, magnesium, and coagulation panel.
Plan
Telemetry, serial ECG/troponin until down trending.
Manage by treating the underlying disturbance
Consider echocardiography to assess LV function and wall-motion abnormalities
Outpatient ischemic evaluation may be indicated based on echocardiographic findings and clinical course