Acute Coronary Syndrome Triage

Cardiology

Spectrum of ischaemic conditions: UA, NSTEMI, STEMI.

Investigations

  • ECG within 10 min
  • hs-troponin 0/1 h (ESC algorithm)
  • HEART/EDACS/GRACE scores

Management

  • Aspirin 300 mg + P2Y12
  • STEMI: PPCI (or fibrinolysis)
  • NSTEMI: risk-stratified invasive strategy
  • UA: risk-stratified

Related in WardRound

Educational — verify locally.

WardRound

WardRound

Clinical Decisions in Seconds