Diagnosis
Myocardial Infarction
NSTE-ACS
Secondary Prevention/
Long-Term Management
Management Prior to
NSTE-ACS
Onset of NSTE-ACS
-Initial recognition and management in the
ED by first responders or ED personnel
-Risk stratification
-Immediate management
Hospital Management
-Medication
-Conservative versus ischemia-guided strategy
-Special groups
-Preparation for discharge
Final Dx
Cardiac Biomarker
ECG
Working Dx
Presentation
Ischemic Discomfort
ACS
No ST Elevation
NQMI
STEMI NSTEMI UA
Unstable Angina
QwMI
ST Elevation
Noncardiac
Etiologies
* *
Figure 1. Acute Coronary Syndromes
2
Modified with permission from Libby et al.
* Elevated cardiac biomarker (e.g., troponin).
