NSTEMI risk reassessment

Educational use only. Not clinically reviewed

67-year-old woman for NSTEMI risk reassessment. About 8 simulated minutes.

What you will practise

Reconcile symptoms, serial ECG reports, and the assay-bounded high-sensitivity-troponin change.
Verify the authored NSTEMI conclusion while preserving competing causes of myocardial injury.
Re-screen current symptoms, hemodynamics, heart failure, rhythm, arrest, mechanical complications, and dynamic ECG change.
Record ischemic- and bleeding-risk review before a region-specific inpatient invasive strategy.
Record serial monitoring, change triggers, ownership, and the next reassessment.

Review and sources

Not clinically reviewed. No clinician has signed this scenario.

Rao SV, O’Donoghue ML, Ruel M, et al. 2025 ACC/AHA/ACEP/NAEMSP/SCAI Guideline for the Management of Patients With Acute Coronary Syndromes. Circulation. 2025;151:e771-e862. PMID:40014670. doi:10.1161/CIR.0000000000001309.
Byrne RA, Rossello X, Coughlan JJ, et al. 2023 ESC Guidelines for the management of acute coronary syndromes. Eur Heart J. 2023;44:3720-3826. PMID:37622654.

Open Sim Lab is an educational simulator, not for clinical use. It is not a clinical decision-support tool, not a dosing calculator, and is not validated for any decision affecting a real patient.