[Update on current care guideline: acute coronary syndrome--unstable angina and myocardial infarction without ST elevation].

Diagnosis, risk assessment, and treatment of acute coronary syndrome should be done promptly, beginning from the first medical contact. Treatment is based on risk assessment. Antithrombotic treatment contains aspirin, LMWH, and clopidogrel, prasugrel or ticagrelor, according to local practice. High risk patients benefit from early invasive treatment. Bleeding complications should be avoided especially in patients with kidney disease or in elderly patients. Effective secondary prevention begins during the hospital stay. All patients should have an individual rehabilitation and follow-up plan after acute treatment.