Synchronizing Care: Chest Pain - MI Registry and the 2025 ACS Guidelines - 2025 Quality Summit Presentation (Non-CE)-Synchronizing Care: Chest Pain

Video Transcription

Video Summary

Dr. Leslie Davis, an accomplished cardiovascular nursing expert and associate professor at UNC Chapel Hill, presented updates on the 2025 Acute Coronary Syndrome (ACS) guidelines and their integration into the National Cardiovascular Data Registry (NCDR) Chest Pain-MI data collection form. She emphasized the ongoing efforts to refine data forms in alignment with new evidence, scheduled for release in 2026. Key updates include refined definitions such as the "first medical contact," updated troponin testing intervals favoring high-sensitivity assays, and new data collection elements like intracoronary imaging, limb ischemia, lactate levels, and transfusion hemoglobin targets (now ≥10 g/dL). Changes also address medication protocols: expanded documentation of antiplatelets—including clopidogrel, ticagrelor, and prasugrel—lipid management with statins and non-statins, proton pump inhibitor use to mitigate bleeding risk, and emerging therapies like colchicine and SGLT2 inhibitors. Dr. Davis highlighted common clinical challenges, such as distinguishing type 1 vs. type 2 myocardial infarction and proper STEMI coding, advocating for education and quality improvement. She underscored that local QI efforts and registry data should drive adoption of best practices. Audience questions covered morphine use, beta-blocker timing, transfusion thresholds, and registry form updates. The talk reinforced the vital role of accurate data collection, evidence-based care, and continual refinement of guidelines to improve ACS patient outcomes.

Keywords

intravascular imaging

percutaneous coronary intervention

IVUS

OCT

cardiovascular care

plaque assessment

stent placement

coronary CT angiography

CTFFR

Acute Coronary Syndrome

2025 ACS Guidelines

National Cardiovascular Data Registry

Chest Pain-MI Data Collection

Troponin Testing

Intracoronary Imaging

Antiplatelet Therapy

Myocardial Infarction Classification

Quality Improvement in Cardiology