The Living Guidelines: UA/NSTEMI Recommendations for Post discharge Follow-Up Suggest Revisions to the CLASS I Guidelines

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Class I Guidelines

 * 1) Detailed discharge instructions for post UA / NSTEMI patients should include education on medications, diet, exercise, and smoking cessation counseling (if appropriate), referral to a cardiac rehabilitation / secondary prevention program (when appropriate), and the scheduling of a timely follow-up appointment. Low risk medically treated patients and revascularized patients should return in 2 to 6 weeks, and higher risk patients should return within 14 days. (Level of Evidence: C)
 * 2) Patients with UA / NSTEMI managed initially with a conservative strategy who experience recurrent signs or symptoms of unstable angina or severe (Canadian Cardiovascular Society class III) chronic stable angina despite medical management who are suitable for revascularization should undergo timely coronary angiography. (Level of Evidence: B)
 * 3) Patients with UA / NSTEMI who have tolerable stable angina or no anginal symptoms at follow-up visits should be managed with long term medical therapy for stable CAD. (Level of Evidence: B)
 * 4) Care should be taken to establish effective communication between the post UA / NSTEMI patient and health care team members to enhance long term compliance with prescribed therapies and recommended lifestyle changes. (Level of Evidence: B)