Shah Z, et al. - Since the occurrence of acute coronary syndromes (ACS) is likely to rise with an increasing and aging heart transplant population, researchers used the National Inpatient Sample (2007 to 2014) to analyze current trends in in-hospital management and outcomes among heart transplant recipients (HTR) presenting with ACS. Participants had ST elevation myocardial infarction (STEMI), non STEMI (NSTEMI), and unstable angina pectoris. Findings demonstrated a high incidence of cardiogenic shock (CS) and in-hospital mortality in relation to ACS in HTR. Additionally, compared with a more conservative strategy, better results appeared to result from implementing an aggressive treatment strategy that included revascularization, mechanical circulatory support use (in those developing CS) and urgent re-transplantation in suitable candidates.