Myocardial Revascularisation: Unstable Angina NSTEMI

- immediate perfusion not urgent - Angiography w/in 24-48hrs of hospitalisation to identify coronary lesions requiring PCI or CABG - Non-interventional approach & trail of medical management if angiography shows ( small area of myocardium at risk, lesion morphology not amenable to PCI, CA stenosis <50% or significant left main disease in CABG candidates) or patients are at high risk of procedure- related morbidity and mortality - if persistent chest pain despite meds -> Immediate PCI or CABG