文档介绍：TheManagementofPatientswithUnstableAnginaand Non-ST-SegmentElevation /AHAPocketGuidelinesNovember,200211/ACC/AHAClassifications eneralagreementthatagivenprocedureortreatmentisbeneficial,useful,andeffectiveClassIIConditionsforwhichthereisconflictingevidenceand/oradivergenceofopinionabouttheusefulness/efficacyofaprocedureortreatmentClassIIaweightofevidence/opinionisinfavorofusefulness/efficacyClassIIbusefulness/efficacyislesswellestablishedbyevidence/eneralagreementthattheprocedure/treatmentisnotuseful/effectiveandinsomecasesmaybeharmful11/ mendationforInitialTriageClassI -leadelectrocardiogram(ECG) >20minutes,hemodynamicinstability,orrecentsyncopeorpresyncopeshouldbestronglyconsideredforimmediatereferraltoanemergencydepartmentoraspecializedchestpainunit11/ mendationClassI ,physicalfindings,ECGfindings,andbiomarkersofcardiacinjury -fort11/ mendationClassI -specifictroponinisthepreferredmarker,andifavailable,-MBisoenzyme(CK-MB),anothersampleshouldbedrawnbetween6and12hours11/ mendationClassIIb -reactiveprotein(CRP)andothermarkersofinflammationshouldbemeasuredClassIII (withoutMB),aspartateaminotransferase(AST),serumglutamicoxaloacetictransaminase(SGOT),-hydroxybutyricdehydrogenaseand/orlactatedehydrogenaseforthedetectionofmyocardialinjury11/Short-TermRiskofDeathorNonfatalMI inPatientswithUnstableAnginaHigh-Risk(1oftheFollowingFeaturesMustbePresent)History Acceleratingtempo