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Figure 9 Management After Diagnostic Angiography in Patients With UA/NSTEMI
*See dosing Table 13.  Evidence exists that GP IIb/IIIa inhibitors may not be necessary if the patient received a preloading dose of at least 300 mg of clopidogrel at least 6 h earlier (Class I, Level of Evidence B for clopidogrel administration) and bivalirudin is selected as the anticoagulant (Class IIa, Level of Evidence B).  Additional bolus of UFH is recommended if fondaparinux is selected as the anticoagulant (see dosing Table 13).  For patients in whom the clinician believes coronary atherosclerosis is present, albeit without any significant, flow-limiting stenoses, long-term treatment with antiplatelet agents and other secondary prevention measures should be considered. ASA = aspirin; CABG = coronary artery bypass graft; CAD = coronary artery disease; GP = glycoprotein; IV = intravenous; LD = loading dose; PCI = percutaneous coronary intervention; pre angio = before angiography; UA/NSTEMI = unstable angina/non–ST-elevation myocardial infarction; UFH = unfractionated heparin.
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