NSTEMI/ unstable
angina
300mg aspirin +
fondaparinux
Grace score
GRACE score <3
STEMI
300mg aspirin
eligibility for
reperfusion
Medical
management
Fibronolysis if
<12hrs.
PCI if <12hrs +
done in
120mins. Or if
continued
ischaemia
GRACE score >3
Ticagrelor + asprin
(clop if high bleeding)
risk)
Ticagrelor +
asprin (clop if
high bleeding)
ECG 60-90mins after
fibrinolysis
Prasugrel + asprin/
clopidogrel + asprin if
already taking an
anticoag
Angiography in
<72hrs. see STEMI
Assess LVF
Assess LVF
Radial?
Unfractionated
hep + bailout GPI
Femoral?
Bivalirudin +
bailout GPI