SIGN Clinical Guideline 148 Acute coronary syndrome

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Coronary heart disease (CHD) is the single biggest cause of death in Scotland as well as being a major cause of premature mortality (death in people aged under 75). In Scotland in 2012, CHD accounted for 16% of all deaths in men and 11% in women.

SIGN 148 Acute coronary syndrome provides recommendations on the management of patients with acute coronary syndrome. It covers presentation, assessment and diagnosis, initial management, reperfusion therapy, risk stratification and non-invasive testing, invasive investigation and revascularisation, early pharmacological intervention and treatment of hypoxia and cardiogenic shock and includes a checklist of information for patients.

This is the second of six coronary heart disease guidelines being updated by SIGN over the course of 2016–2018:

  • Management of chronic heart failure
  • Acute coronary syndrome
  • Risk estimation and the prevention of cardiovascular disease
  • Cardiac arrhythmias in coronary heart disease
  • Management of stable angina
  • Cardiac rehabilitation

For further information please visit: http://www.sign.ac.uk/guidelines/fulltext/148/index.html