Clinical Case Database / Category: Patient Management

Management of non-ST elevation acute coronary syndrome

Publication details

Kalyan Gurazada MBBS, Jagdip Sidhu MBBS MD MRCP
Foundation Years Journal, volume 3, issue 2, p.45 (123Doc Education, London, March 2009)


A 62-year-old manual worker presents to the A&E department with a 2-hour history of central chest pain radiating to both arms. His pain subsided after being given sublingual glyceryl trinitrate and aspirin 300mg in the ambulance. Prior to his admission he smoked 20 cigarettes a day for over 40 years. Examination was unremarkable.

Access the Clinical Cases Database

A subscription is required to read the full article. Please subscribe using one of the options below.

Foundation Years Clinical Cases Database£29.006 months
Add to cart
Foundation Years Clinical Cases Database£39.0012 months
Add to cart


Kalyan Gurazada MBBS

ST2 General Medicine
Darent Valley Hospital

Jagdip Sidhu MBBS MD MRCP

Consultant Cardiologist
Darent Valley Hospital
Dartford and
St. Thomas' Hospital


1. Guidelines for the management of non-ST segment elevation acute coronary syndromes. European Heart Journal, 2007, 28:1598–1660.
2. MI: secondary prevention. NICE clinical guideline 48. May 2007.
3. Antman EM, et al. The TIMI risk score for unstable angina/non-ST elevation MI: a method for prognostication and therapeutic decision-making. JAMA, 2000, 284:835–842.
4. Mehta SR, et al. Routine vesus Selective invasive strategies in patients with acute coronary syndromes: a collaborative metanalysis of randomised trials. JAMA, 2005, 293:2908–2917.


Conflict Of Interest

The Journal requires that authors disclose any potential conflict of interest that they may have. This is clearly stated in the Journal’s published “Guidelines for Authors”. The Journal follows the Guidelines against Conflict of Interest published in the Uniform Requirements for Manuscripts Submitted to Biomedical Journals (

Financial Statement

The authors of this article have not been paid. The Journal is financed by subscriptions and advertising. The Journal does not receive money from any other sources. The decision to accept or refuse this article for publication was free from financial considerations and was solely the responsibility of the Editorial Panel and Editor-in-Chief.

Patient Consent statement

All pictures and investigations shown in this article are shown with the patients’ consent. We require Authors to maintain patients’ anonymity and to obtain consent to report investigations and pictures involving human subjects when anonymity may be compromised. The Journal follows the Guidelines of the Uniform Requirements for Manuscripts ( The Journal requires in its Guidelines for Authors a statement from Authors that “the subject gave informed consent”.

Animal & Human Rights

When reporting experiments on human subjects, the Journal requires authors to indicate whether the procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the HelsinkiDeclaration of 1975, as revised in 2008.

About the Clinical Cases Database

T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

The database is fully searchable, or can be browsed by medical specialty. Abstracts can be read free of charge, however a subscription is required in order to read the complete cases.