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. 2012 Aug;8(3):239–249. doi: 10.2174/157340312803217193

Table 1.

European Society of Cardiology (ESC) Guideline for the Use of Pharmacotherapy During Myocardial Revascularisation in Non ST Elevation Acute Coronary Syndrome (NSTEACS) which Includes NSTEMI and Unstable Angina [36]

NSTEMI Class of Recommendation Level of Evidence
Antiplatelet therapy
Aspirin I C
Clopidogrel (with 600 mg loading as soon as possible) I C
Clopidogrel (for 9-12 months afterPCI) I B
Prasugrel IIa B
Ticagrelor I B
GPI (in patients with evidence of high intracoronary thrombus burden)
Abciximab (with DAPT) I B
Tirofiban, eptifibatide IIa B
Upstream GPI III B
Anticoagulation
Very high risk of ischaemia UFH (+GPI) or I C
Bivalirudin monotherapy I B
Medium-high risk of ischaemia UFH I C
Bivalirudin I B
Fondaparinux I B
Enoxaparin IIa B
Low risk of ischaemia Fondaparinux I B
Enoxaparin IIa B

Adapted from 2010 ESC “Guidelines on myocardial revascularisation”: ASA- Aspirin, GPIIb-IIIa - Glycoprotein IIb/IIIa, DAPT- dual antiplatelet therapy, UFH- unfractionated heparin