Initial (MONA-B)
- Morphine 2.5 mg IV titrated
- O₂ if SpO₂ <94%
- Nitrate sublingual
- Aspirin 300 mg PO
- β-blocker (if no CI)
DAPT loading
- Aspirin 300 mg + ticagrelor 180 mg (or clopidogrel 600 mg / prasugrel 60 mg)
STEMI
- PPCI ≤120 min; otherwise fibrinolysis ≤12 h
- Heparin / bivalirudin / fondaparinux
NSTEMI/UA
- Risk stratify (GRACE)
- Angiography within 24–72 h
Discharge
- Aspirin 75 mg + P2Y12 12 m, statin, ACEi, β-blocker, cardiac rehab
