ABSTRACT

The syndromes of unstable angina and non-Q-wave myocardial infarction account for approximately 2-2.5 million hospital admissions worldwide1,2 and the evolving challenge of managing this problem is the topic of frequent discussions.3,4 Despite recent advances in the understanding of the pathophysiology of unstable coronary artery disease and improvements in treatment,5-7 patients still face a significant increased risk of further myocardial infarction and death in the weeks and months following the unstable episode. Because of this, it is imperative that guidelines for management and treatment of these conditions should be frequently updated1,8 and both the British Cardiac Society and the American College of Cardiology/American Heart Association have recently published new guidelines.