Acute coronary syndromes

This factsheet covers coronary heart disease in general while offering a description of what acute coronary syndromes are. It goes on to discuss management options and signpost to patient resources.

This NICE clinical knowledge summary (CKS) topic covers the use of prophylactic treatments, rehabilitation, and modification of risk factors in people who have had a myocardial infarction (MI) and do not have heart failure.

Acute coronary syndrome (unstable angina and myocardial infarction) is a cardiac cause of chest pain. This section of this NICE clinical knowledge summary (CKS) explores recognition and management of ACS.

The aim of this e-course is to develop your knowledge and skills in cardiovascular therapeutics. This will enable you to provide a person-centred approach to support the healthcare of people living with or at higher risk of cardiovascular disease. It is designed for pharmacy professionals working in all areas of practice.

To facilitate your learning, we have structured the course into seven units. Some units are larger than others, but we estimate that you will need to commit an average of three hours of learning for each unit.

• Unit 1 – Introduction to cardiovascular therapeutics
• Unit 2 – Atrial fibrillation
• Unit 3 – Blood pressure
• Unit 4 – Cholesterol
• Unit 5 – Stable angina
• Unit 6 – Acute coronary syndrome
• Unit 7 – Heart failure

Learning Outcomes:

On completion of all aspects of this learning programme, you should be able to:

• describe the anatomy and function of the cardiovascular system
• explain the changes to cardiovascular system anatomy and function occurring in common cardiovascular conditions
• identify opportunities to develop your role and professional networks to deliver holistic and seamless care for people living with or at higher risk of cardiovascular disease
• apply your knowledge of medicines and cardiovascular guidelines to support evidence-based decisions and medicines optimisation for the prevention and treatment of cardiovascular disease
• demonstrate a shared decision making approach to the care of people living with or at higher risk of cardiovascular disease
• create a personal action plan that describes the actions you will take to support people living with or at higher risk of cardiovascular disease

This e-assessment is linked with the CPPE Fundamentals of cardiovascular therapeutics e-course programme, and assesses you on the learning outcomes in that programme. 

Why should I do this assessment?

This e-assessment completes the learning you began with the CPPE Fundamentals of cardiovascular therapeutics e-course. Access and successful completion will contribute to your own personal development plan, be recorded in your My CPPE record and will enable you to complete a CPD entry on the learning. It may also provide evidence for achieving competencies in the RPS Foundation or Advanced Pharmacy Frameworks. If you are working towards completing a Declaration of Competence for a pharmacy service, successful completion of this assessment will provide evidence of your learning.

This guideline covers the early and longer-term (rehabilitation) management of acute coronary syndromes. These include ST-segment elevation myocardial infarction (STEMI), non-ST-segment elevation myocardial infarction (NSTEMI) and unstable angina. The guideline aims to improve survival and quality of life for people who have a heart attack or unstable angina.

This review provides an overview of the challenges associated with the management of acute coronary syndrome (ACS) in older people whilst offering practical management suggestions.