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  • Acute Coronary Syndrome Algorithm 2021

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    moustafa.fathy3
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    This document provides an overview of the diagnostic process for acute coronary syndrome (ACS). It outlines that patients first undergo a history and clinical assessment to suggest ACS. They then receive a 12-lead ECG to check for ST-segment elevation, new left bundle branch block, or other ECG changes. Based on the ECG and troponin levels, patients are diagnosed as having ST-elevation myocardial infarction, non-ST-elevation myocardial infarction, or unstable angina. Higher risk non-ST-elevation ACS may be identified by additional ECG changes, unstable vital signs, diabetes, or a high GRACE score.

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    ACS

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    This document provides an overview of the diagnostic process for acute coronary syndrome (ACS). It outlines that patients first undergo a history and clinical assessment to suggest ACS. They then receive a 12-lead ECG to check for ST-segment elevation, new left bundle branch block, or other ECG changes. Based on the ECG and troponin levels, patients are diagnosed as having ST-elevation myocardial infarction, non-ST-elevation myocardial infarction, or unstable angina. Higher risk non-ST-elevation ACS may be identified by additional ECG changes, unstable vital signs, diabetes, or a high GRACE score.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    1 views1 page

    Acute Coronary Syndrome Algorithm 2021

    Uploaded by

    moustafa.fathy3
    This document provides an overview of the diagnostic process for acute coronary syndrome (ACS). It outlines that patients first undergo a history and clinical assessment to suggest ACS. They then receive a 12-lead ECG to check for ST-segment elevation, new left bundle branch block, or other ECG changes. Based on the ECG and troponin levels, patients are diagnosed as having ST-elevation myocardial infarction, non-ST-elevation myocardial infarction, or unstable angina. Higher risk non-ST-elevation ACS may be identified by additional ECG changes, unstable vital signs, diabetes, or a high GRACE score.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    Acute coronary syndrome

    History and clinical assessment


    suggest ACS

    12-lead ECG

    ST-segment elevation Other ECG changes


    or new* LBBB or normal ECG

    STEMI
    Troponin concentration
    ST-segment-elevation
    myocardial infarction

    Troponin
    Troponin release consistently
    present negative

    NSTEMI Reconsider other


    Non-ST-segment- causes of chest
    elevation pain
    myocardial
    infarction

    Unstable angina

    Higher risk NSTE ACS may be indicated by:


    • ST-segment depression
    • Dynamic ECG changes
    • Unstable rhythm
    *Known to be new LBBB or presumed new LBBB • Unstable haemodynamics
    • Diabetes mellitus
    GRACE – Global Registry of Acute Coronary Events • High GRACE score
    LBBB – Left bundle branch block
    NSTE ACS – Non-ST-segment-elevation acute coronary syndromes
    NSTEMI – Non-ST-segment-elevation myocardial infarction
    STEMI – ST-segment-elevation myocardial infarction

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