2023 ESC Guidelines for the management of acute coronary syndromes: Developed by the task force on the management of acute coronary syndromes of the European Society of Cardiology (ESC), Robert A Byrne, Xavier Rossello, J J Coughlan, Emanuele Barbato, Colin Berry, Alaide Chieffo, Marc J Claeys, Gheorghe-Andrei Dan, Marc R Dweck, Mary Galbraith, Martine Gilard, Lynne Hinterbuchner, Ewa A Jankowska, Peter Jüni, Takeshi Kimura, Vijay Kunadian, Margret Leosdottir, Roberto Lorusso, Roberto F E Pedretti, Angelos G Rigopoulos, Maria Rubini Gimenez, Holger Thiele, Pascal Vranckx, Sven Wassmann, Nanette Kass Wenger, Borja Ibanez, ESC Scientific Document Group , European Heart Journal, Volume 44, Issue 38, 7 October 2023, Pages 3720–3826, https://doi.org/10.1093/eurheartj/ehad191
2021 AHA/ACC/ASE/CHEST/SAEM/SCCT/SCMR Guideline for the Evaluation and Diagnosis of Chest Pain: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines, Martha Gulati, Phillip D. Levy, Debabrata Mukherjee, Ezra Amsterdam, Deepak L. Bhatt, Kim K. Birtcher, Ron Blankstein, Jack Boyd, Renee P. Bullock-Palmer, Theresa Conejo, … , Originally published28 Oct 2021https://doi.org/10.1161/CIR.0000000000001029Circulation. 2021;144:e368–e454
2023 Canadian Cardiovascular Society/Canadian Association of Interventional Cardiology Focused Update of the Guidelines for the Use of Antiplatelet Therapy, Canadian Journal of Cardiology, October 28, 2023, DOI:https://doi.org/10.1016/j.cjca.2023.10.013
NSTEMI
2014 AHA/ACC Guideline for the Management of Patients With Non–ST-Elevation Acute Coronary Syndromes, A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines, Circulation. 2014;130:e344-e426
Algorithme
Invasive versus conservative strategy in patients aged 80 years or older with non-ST-elevation myocardial infarction or unstable angina pectoris (After Eighty study): an open-label randomised controlled trial, The Lancet, Volume 387, No. 10023, p1057–1065, 12 March 2016
Interpretation: In patients aged 80 years or more with NSTEMI or unstable angina, an invasive strategy is superior to a conservative strategy in the reduction of composite events. Efficacy of the invasive strategy was diluted with increasing age (after adjustment for creatinine and effect modification). The two strategies did not differ in terms of bleeding complication
STEMI
Dissection spontanée de l’artère coronaire chez une femme de 50 ans. Petropoulos T, Rooprai J, Kotowycz MA, Madan M. CMAJ. 2022 Jul 11;194(26):E930-E935. French. doi: 10.1503/cmaj.212009-f. PMID: 35817430.
Colchicine
Efficacy and Safety of Low-Dose Colchicine after Myocardial Infarction, NEJM, November 16, 2019, DOI: 10.1056/NEJMoa1912388
ECG - Épreuve d'effort
Sgarbossa Criteria, Life in the Fastline LITFL, incluant Smith-modified
False positive results of treadmill exercise ECG - we should minimize the unnecessary referrals to invasive coronary angiography, T. Silva R. Ramos P. Rio C. Barbosa P. Pinho J. Labandeiro M. Nogueira G. Portugal R. Cruz Ferreira, European Heart Journal, Volume 34, Issue suppl_1, 1 August 2013, P3375
aVR – the forgotten lead. Exp Clin Cardiol. 2010 Summer; 15(2): e36–e44.
HEART score
The HET (history, electrocardiogram, and troponin) score has low efficacy and negative predictive value in a multisite U.S. cohort study. Supples MW, Dameron AG, Powell S, Snavely AC, Ashburn NP, Allen BR, Christenson RH, Wilkerson RG, Mumma BE, Madsen TE, Mahler SA. Am J Emerg Med. 2025 Mar;89:151-158. doi: 10.1016/j.ajem.2024.12.012. Epub 2024 Dec 15. PMID: 39729682.
Oxygène
Oxygen Therapy in Patients with Acute Myocardial Infarction: A Systemic Review and Meta-Analysis. Am J Med. 2018 Jun;131(6):693-701. doi: 10.1016/j.amjmed.2017.12.027. Epub 2018 Mar 5.
CONCLUSIONS: This meta-analysis confirms the lack of benefit of routine oxygen therapy in patients with acute myocardial infarction with normal oxygen saturation levels.
Troponines
High-Sensitivity Cardiac Troponin and the 2021 AHA/ACC/ASE/CHEST/SAEM/SCCT/SCMR Guidelines for the Evaluation and Diagnosis of Acute Chest Pain. Sandoval Y, Apple FS, Mahler SA, Body R, Collinson PO, Jaffe AS; International Federation of Clinical Chemistry and Laboratory Medicine Committee on the Clinical Application of Cardiac Biomarkers. Circulation. 2022 Jul 1:101161CIRCULATIONAHA122059678. doi: 10.1161/CIRCULATIONAHA.122.059678. Epub ahead of print. PMID: 35775423.
Diagnostic and prognostic value of cardiac troponins in emergency department patients presenting after a fall: A prospective, multicenter study. Espejo, T., Terhalle, L., Malinovska, A., Riedel, H. B., Arntz, L., Hafner, L., Delport-Lehnen, K., Zuppinger, J., Geigy, N., Leuppi, J., Somasundaram, R., Bingisser, R., & Nickel, C. H. (2024). Academic emergency medicine : official journal of the Society for Academic Emergency Medicine, 10.1111/acem.14897.
Myocardial Infarction Can Be Safely Excluded by High-sensitivity Troponin I Testing 3 Hours After Emergency Department Presentation. Peacock WF, Christenson R, Diercks DB, Fromm C, Headden GF, Hogan CJ, Kulstad EB, LoVecchio F, Nowak RM, Schrock JW, Singer AJ, Storrow AB, Straseski J, Wu AHB, Zelinski DP. Acad Emerg Med. 2020 Mar 27. doi: 10.1111/acem.13922. [Epub ahead of print]
True 99th centile of high sensitivity cardiac troponin for hospital patients: prospective, observational cohort study, BMJ 2019; 364 doi: https://doi.org/10.1136/bmj.l729 (Published 13 March 2019)
Infarctus du myocarde: le seuil décisionnel de la troponine ultrasensible à nouveau contesté, Medscape, 1er avril 2019