In this video, I review through four cases studies some of the key changes from the latest NICE guidance on acute coronary syndrome and how they correlate with the ESC guidance released earlier this year. Via these short cases, I illustrate how these changes are impacting clinical practice from a primary care perspective and highlight key points to remember.

• Case 1: A fracture hip and a raised troponin
  Was it a heart attack? 
• Case 2: 50-year-old with inferior ST elevation MI
  What medications should they be on for the next year?
• Case 3: A NSTEMI in a patient with known AF
  What is the right antiplatelet / anticoagulation strategy?
• Case 4: Chest pain, raised troponin and unobstructed coronary arteries
  If it is not a "heart attack", then what is it doctor?

Use the menu on the top left-hand side of the video to go to specific cases of interest.
You can also watch the video in full screen (arrows at the bottom) for better quality.

Related content

>> Acute coronary syndromes

Access the latest NICE guidance and OnMedica's quick summary of key changes highlighting areas of particular interest to primary care. 

NICE visual summaries

>> STEMI: early management	>> NSTEMI/unstable angina: early management	>> Cardiac rehabilitation and secondary prevention

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