Table 1.
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