The Living Guidelines: UA/NSTEMI Recommendations for UA/NSTEMI in Drug and Substance Abusers Polling Results for CLASS I Guidelines

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Class I Guidelines
1. Administration of sublingual or intravenous NTG and intravenous or oral calcium antagonists is recommended for patients with ST segment elevation or depression that accompanies ischemic chest discomfort after cocaine use. (Level of Evidence: C)

 UA/NSTEMI Guidelines Class I Recommendation 1 for UA/NSTEMI in Drug and Substance Abusers should be: CLASS I CLASS IIa CLASS IIb CLASS III

2. Immediate coronary angiography, if possible, should be performed in patients with ischemic chest discomfort after cocaine use whose ST segments remain elevated after NTG and calcium antagonists; PCI is recommended if occlusive thrombus is detected. (Level of Evidence: C)

 UA/NSTEMI Guidelines Class I Recommendation 2 for UA/NSTEMI in Drug and Substance Abusers should be: CLASS I CLASS IIa CLASS IIb CLASS III

3. Fibrinolytic therapy is useful in patients with ischemic chest discomfort after cocaine use if ST segments remain elevated despite NTG and calcium antagonists, if there are no contraindications, and if coronary angiography is not possible. (Level of Evidence: C)

 UA/NSTEMI Guidelines Class I Recommendation 3 for UA/NSTEMI in Drug and Substance Abusers should be: CLASS I CLASS IIa CLASS IIb CLASS III