Archer says in his pay per view CCS that in unstable angina and NON STEMI, no need to do cardiac catheterization unless signs of ongoing ischemia appear. I also think that sounds good.
But in uworld ccs case 17, cardiac catheterization is done right away and the explanation recommends cardiac cath for unstable angina.
what is the guide line, which source is correct?
please explain, thank yoi
the usmleworld case had ST segment depressions and the explanation says do cardiac cath in such cases.
All with unstable angina or NSTEMI need a cath eventually. But if there's no active chest pain (meaning: no ischemia) with medical management, you can delay cath a bit. Otherwise, if the pain is not resolving, urgent cath is needed
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All with unstable angina or NSTEMI need a cath eventually. But if there's no active chest pain (meaning: no ischemia) with medical management, you can delay cath a bit. Otherwise, if the pain is not resolving, urgent cath is needed