When is admission to an ICU indicated for the treatment of unstable angina?

Updated: Oct 01, 2020
  • Author: Walter Tan, MD, MS; Chief Editor: Eric H Yang, MD  more...
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Answer

ICU or emergency revascularization disposition is indicated by the following:

  • TIMI (Thrombolysis In Myocardial Infarction) risk score of 3-7

  • New ECG changes in 2 or more leads

  • ST elevation greater than 1 mm or Q waves 0.04 seconds or longer

  • ST depression greater than 1 mm or T-wave inversion in the context of angina

  • New left bundle branch block

  • Signs and symptoms of incipient or florid heart failure

  • Syncope or sudden death presentation

  • Serious new arrhythmias, including second-degree or complete heart block and ventricular tachyarrhythmias

  • Refractory angina

  • Hypoxia

  • Positive cardiac enzymes (creatine kinase [CK] or troponin)

  • Myocardial infarction or coronary stenting within the last 2 weeks


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