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==Unstable Angina/NSTEMI==
==Unstable Angina/NSTEMI==
*Tx: NSTEMI with '''high risk features (refractory pain, TIMI score ≥ 3)''' should get PCI. '''No role for thrombolytic therapy in NSTEMI'''
*Tx: NSTEMI with '''high risk features (refractory pain, TIMI score ≥ 3)''' should get PCI. '''No role for thrombolytic therapy in NSTEMI'''
** MONA BAsH—'''morphine/metoclopramide (for pain/nausea), oxygen (if SpO2 <95%/breathless), nitrates, ASA, β-blockers (''if LVEF < 40%, HTN, tachycardic''), Antiplatelet (if doing angioplasty/stenting, prasugrel or ticagrelor are preferred agents), (spironolactone?), Heparin (LMWH)'''.
** MONA BAsH—'''morphine/metoclopramide (for pain/nausea), oxygen (if SpO2 <95%/breathless), nitrates, ASA, β-blockers (''if LVEF < 40%, HTN, tachycardic, no heart failure''), Antiplatelet (if doing angioplasty/stenting, prasugrel or ticagrelor are preferred agents), (spironolactone?), Heparin (LMWH)'''.
** Send home on 12 months DAPT (if stending/angioplasty performed), ACEI/ARB, and statin.
** Send home on 12 months DAPT (if stending/angioplasty performed), ACEI/ARB, and statin.
! Group !! Intervention
! Group !! Intervention
|-
|-
| 21+ w/ ASCVD or LDL > 190 || High dose statin
| 21+ '''w/ ASCVD''' or LDL > 190 || High dose statin
|-
|-
| 40+ w/ LDL 70-189 w/o diabetes || Calculate 10-yr ASCVD risk:
| 40+ w/ LDL 70-189 w/o diabetes || Calculate 10-yr ASCVD risk:
*H&P: Possible history of recent MI, improved when leaning forward, can have pleuritic chest pain, cardiac rub
*H&P: Possible history of recent MI, improved when leaning forward, can have pleuritic chest pain, cardiac rub
*Dx: Can show calcifications on CXR
*Dx: Can show calcifications on CXR
*Tx: '''High-dose aspirin for post-MI acute pericarditis, otherwise NSAIDs and colchicine for normal pericarditis'''.
*Tx: '''High-dose aspirin''' for post-MI acute pericarditis, otherwise '''NSAIDs and colchicine''' for normal pericarditis.
==[[Cardiac Tamponade]]==
==[[Cardiac Tamponade]]==
*H&P: Beck's triad
*H&P: Beck's triad