Unstable angina / non ST elevation myocardial infarction prehospital care before onset


 * Associate Editors-In-Chief: ; Varun Kumar, M.B.B.S.; Lakshmi Gopalakrishnan, M.B.B.S.

Overview

 * Major risk factors for development of coronary heart disease have been established from several long term epidemiological studies.
 * Various clinical trials have demonstrated that development of coronary diseases can be prevented or the risk of experiencing UA/NSTEMI in patients who have coronary heart disease can be lowered by modifying these risk factors.


 * The risk factors include:
 * Smoking
 * Overweight or obese
 * Abnormal lipid profile
 * Diabetes Mellitus
 * Elevated blood pressure
 * Physical inactivity
 * Advanced age


 * 10 year risk of developing coronary heart disease can be assessed using calculator based on Framingham Heart Study here.

==ACC / AHA Guidelines for Identification of Patients at Risk of UA/NSTEMI (DO NOT EDIT) == {{cquote|

Class I
1. Primary care providers should evaluate the presence and status of control of major risk factors for coronary heart disease (CHD) for all patients at regular intervals (approximately every 3 to 5 years). (Level of Evidence: C)

2. Ten-year risk (National Cholesterol Education Program global risk) of developing symptomatic CHD should be calculated for all patients who have 2 or more major risk factors to assess the need for primary prevention strategies. (Level of Evidence: B)

3. Patients with established CHD should be identified for secondary prevention efforts, and patients with a CHD risk equivalent (e.g., atherosclerosis in other vascular beds, diabetes mellitus, chronic kidney disease, or 10-year risk greater than 20% as calculated by Framingham equations) should receive equally intensive risk factor intervention as those with clinically apparent CHD. (Level of Evidence: A)}}