
🔬 Breaking Down the 2025 ACS Guidelines: What's New? 💉📉
Dr RR Baliga's "Got Knowledge Doc" Podkast
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Show Notes
🩺 2025 ACS Management Guidelines Summary 💊
• 🩸 DAPT recommended: Ticagrelor or prasugrel preferred over clopidogrel in PCI patients.
• 🎯 Lipid management: High-intensity statins + ezetimibe; PCSK9 inhibitors if LDL-C ≥70 mg/dL.
• 🔬 Invasive approach: Recommended for intermediate/high-risk NSTE-ACS; radial access preferred for PCI.
• 🚑 Revascularization: Complete revascularization advised for STEMI/NSTE-ACS; intracoronary imaging for complex lesions.
• ❤️ Cardiogenic shock: Emergency PCI for culprit vessel; microaxial flow pump may help select patients.
• 🏥 Secondary prevention: Lipid monitoring, cardiac rehab, and long-term risk reduction strategies are key.