Tag Archives: non-ST-elevation myocardial infarction (NSTEMI)

At our tertiary PCI centre in London, we conducted a retrospective audit of all patients admitted under the acute medical take with a diagnosis of non-ST-elevation – acute coronary syndrome (NSTE-ACS) between October 2023 and October 2024. As per our Trust pathway, patients with NSTE-ACS were admitted under acute medicine, rather than cardiology, if they did not have significant dynamic electrocardiogram (ECG) changes, ongoing chest pain, pulmonary oedema, cardiogenic shock, ventricular arrhythmias or a history of coronary intervention in the preceding 30 days. In total, 74 patients underwent coronary angiography with a mean age of 64.2 ±

Introduction Mr X is a 48-year-old man who was admitted to Accident and Emergency (A&E) with chest pain. He described typical cardiac sounding chest pain, initially on exertion, but at the time of presentation, pain at rest. His electrocardiogram (ECG) showed ischaemic changes, with dynamic troponin rise. He was discussed with cardiology on-call, the impression was non-ST-elevation myocardial infarction (NSTEMI), and he was admitted under the cardiology team for further management. Mr X had an angiogram that showed significant coronary artery disease (CAD) requiring intervention. He had successful percutaneous coronary intervention (PCI)