New evidence suggests certain cohorts do not significantly benefit from interventional management over medical management (1). For this reason, an NSTEMI finding (or high pre-test probability alone) may not need immediate escalation.

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Does the patient meet any of the following criteria:

• Rockwood Frailty score >4

• Age >75yo

• TEP ceiling of care 'not for admission' or equivalent

• Established cardiac medical management plan

• Complex multimorbidity (impacting quality of life or prognosis)​​​