Initial | Aspirin, thrombolysis/ PCI | Aspirin, thrombolysis/PCI | Aspirin, thrombolysis | For low risk | Aspirin, LMWH, nitrates, β blockers | Aspirin, LMWH, nitrates, β blockers, clopidogrel | Aspirin, unfractionated heparin or LMWH, β blocker, nitrates |
Subsequent | β Blocker | β Blocker, ACEI <24 hours | β Blocker, ACEI | For high risk | GP IIb/IIIa, angiogram (also intermediate risk) | GP IIb/IIIa, angiogram | Angiogram |
On discharge | Aspirin, β blocker, statin | Aspirin (clopidogrel if aspirin contraindicated), β blocker, statin | Aspirin, β blocker, statin | On discharge | Aspirin, β blocker, statin | Aspirin, clopidogrel (for at least 9 months), β blocker, statin | Aspirin, β blocker, statin |