2007 update to the ACC/AHA guidelines for the management of patients with unstable angina and non-ST-segment elevation myocardial infarction: implications for emergency department practice

Ann Emerg Med. 2008 May;51(5):591-606. doi: 10.1016/j.annemergmed.2007.09.004. Epub 2007 Nov 26.


The American College of Cardiology and American Heart Association have updated their guidelines for the management of non-ST-segment-elevation acute coronary syndrome for the first time since 2002. In the interim, several important studies affecting choices of therapy potentially begun in the emergency department have been completed, and care patterns have changed and matured significantly. In this review, we present the new recommendations that are pertinent to emergency medicine practice and comment on their potential implementation into an evidence-based, multidisciplinary approach to the evaluation and management of this challenging patient population.

Publication types

  • Review

MeSH terms

  • Acute Coronary Syndrome* / diagnosis
  • Acute Coronary Syndrome* / physiopathology
  • Acute Coronary Syndrome* / therapy
  • Angina, Unstable / therapy*
  • Angioplasty, Balloon, Coronary
  • Anticoagulants / therapeutic use*
  • Cardiology*
  • Cardiovascular Agents / therapeutic use*
  • Coronary Artery Bypass
  • Emergency Service, Hospital / standards*
  • Humans
  • Practice Guidelines as Topic*
  • Randomized Controlled Trials as Topic
  • Societies, Medical
  • United States


  • Anticoagulants
  • Cardiovascular Agents