Risk Stratification Of Nste-Acs

With increasing improvement in prognosis of the majority of NSTE-ACS patients in recent years, standardized, fast and well discriminating risk stratification is gaining importance. Different characteristics of the long-term expected ischemic risk such as clinical parameters, ECG indicators, biomarkers, or clinical risk scores are recorded and integrated in coordination with the individual risk of bleeding. For example, the absolute level of troponin concentration is predictive for all-cause mortality. The GRACE risk score is not only recommended for additional objective risk stratification, but is also one of the parameters indicating the need for an early invasive angiography within 24 hours. The assessment of the bleeding risk according to ARC-HBR criteria has an impact on the anti-thrombotic therapy.