CURRENT ALGORITHMS OF RISK STRATIFICATION IN ACUTE CORONARY SYNDROME WITHOUT ST SEGMENT ELEVATION

Keywords: acute coronary syndrome, risk stratification, rapid diagnostic protocols, patients with low risk for unfavorable outcomes
Abstarct: Current domestic recommendations for diagnosis and treatment for acute coronary syndrome without ST segment elevation allow to stratify patients into risk groups, first of all in order to reveal patients who need early invasive treatment strategy. The determination of persons with low probability of unfavorable outcome which do not need a long stay in the hospital among patients with chest pain is an urgent task. The review of current scales for chest pain risk evaluation which are based upon clinical, laboratory and instrumental indicators is adduced. The prognostic significance of the scales which contain the combination of clinical signs, ECG and dynamics of markers of myocardial damage (ASPECT, ADAPT, NACPR, HEART, EDACS) is compared with rapid diagnostic protocols which include the analysis of the dynamics of troponin level only (protocol of the European Society of Cardiology (ESC), High-STEACS). Data on the advantages of different approaches are contradictory and the search for an optimal algorithm for assessing the risk of chest pain continues.

BULLETIN
of the Ivanovo Medical Academy^{ISSN 1606-8157}