Non-ST Elevation Acute Coronary Syndromes
Discharge Check List
Note: This checklist does not replace individual clinical judgement and/or consideration for patient tolerance of
specific medications or therapies.
Aspirin 81 mg daily. (AHA Class I, LOE A)
Clopidogrel 75 mg daily for 12 months post NSTE-ACS (with no interruption if drug covered stent
was placed). (AHA Class I, LOE B)
Sublingual nitroglycerin PRN. (AHA Class I, LOE C)
Proton pump inhibitor if history of GI bleeding and/or requires triple therapy with vitamin K
antagonists, aspirin, and p2Y12 receptor inhibitor. (AHA Class I, LOE C)
Beta blockers (AHA Class I, LOE A)
ACE inhibitors (or ARBs if ACE-I intolerant): EF < 40%, HTN, DM, stable CKD. (AHA Class I, LOE A)
Aldosterone blockage (spirlactone 25 mg daily of eplereone 50 mg daily) if EF < 40%, DM, or HF
(provided creatinine < 2.5 mg/dL for men and < 2.0 mg/dL for women and potassium is less than 5
mEq/L. (AHA Class I, LOE A)
High Dose Statin – atorvastatin 80 mg daily. (AHA Class I, LOE A)
Cardiac Rehab Consult (AHA Class I, LOE B)
Pneumococcal Vaccine (AHA Class I, LOE B)
Annual influenza Vaccine (AHA Class I, LOE C)
Avoid NSAIDs (AHA Class III, LOE B)
Follow-up with patient (AHA Class I, LOE B)
ξ UW Health recommends in 1-2 weeks with PCP and 4-6 weeks with Cardiology
Patient Education (AHA Class I, LOE C) to include:
ξ Warning symptoms
ξ When to seek emergency care.
ξ Medication education.
ξ CV risk Factor modification.
ξ Smoking Cessation
Last revised/reviewed: 04/2015 | Contact CCKM for revisions.
UW Health Non-ST-Elevation Acute Coronary Syndromes – Adult – Inpatient/Ambulatory CPG
Reference: Amsterdam EA, Wenger NK, Brindis RG, et al. 2014 AHA/ACC Guideline for the Management of Patients With
Non-ST-Elevation Acute Coronary Syndromes: A Report of the American College of Cardiology/American Heart
Association Task Force on Practice Guidelines. Circulation. 2014;130(25):e344-426.
Copyright © 2015 Univ ersity of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised: 04/2015CCKM@uwhealth.org