Acute coronary syndrome: unstable angina and myocardial infarction without ST elevation

Current Care Summary
A working group appointed by the Finnish Medical Society Duodecim and the Finnish Cardiac Society

Diagnosis, risk assessment, and treatment of acute coronary syndrome should be done promptly, beginning from the first medical contact. Treatment is based on risk assessment. Antithrombotic treatment contains aspirin, LMWH, and clopidogrel, prasugrel or ticagrelor, according to local practice. High risk patients benefit from early invasive treatment. Bleeding complications should be avoided especially in patients with kidney disease or in elderly patients. Effective secondary prevention begins during the hospital stay. All patients should have an individual rehabilitation and follow-up plan after acute treatment.

Kari Niemelä (Chair)

Saila Vikman

Raimo Kettunen

Markku Kuisma

Heikki Miettinen

Matti Niemelä

Mikko Pietilä

Marja Puurunen

Ilkka Tierala

Leena Uusitalo

Antti Ylitalo

Referee: Markku Eskola