The Living Guidelines: UA/NSTEMI Recommendations for Initial Conservative vs Initial Invasive Strategies Suggest Revisions to the CLASS I Guidelines

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Class I Guidelines

 * 1) An early invasive strategy (i.e., diagnostic coronary angiography with intent to perform percutaneous coronary revascularization or CABG) is indicated in UA / NSTEMI patients who have refractory angina or hemodynamic or electrical instability (without serious comorbidities or contraindications to such procedures). (Class I Level of Evidence: B)
 * 2) An early invasive strategy (i.e., diagnostic angiography with intent to perform percutaneous coronary revascularization or CABG) is indicated in initially stabilized UA / NSTEMI patients (without serious comorbidities or contraindications to such procedures) who have an elevated risk for clinical events (Class I Level of Evidence: A)