{"id":158,"date":"2018-10-19T20:28:21","date_gmt":"2018-10-19T20:28:21","guid":{"rendered":"https:\/\/www.proacls.com\/wiki\/?p=158"},"modified":"2025-03-05T18:16:56","modified_gmt":"2025-03-05T18:16:56","slug":"acute-coronary-syndrome","status":"publish","type":"post","link":"https:\/\/www.proacls.com\/wiki\/acls-algorithms\/acute-coronary-syndrome\/","title":{"rendered":"Acute Coronary Syndrome (ACS) Algorithm"},"content":{"rendered":"\t\t\t<div \n\t\t\tclass=\"yotu-playlist yotuwp yotu-limit-min yotu-limit-max   yotu-thumb-169  yotu-template-grid\" \n\t\t\tdata-page=\"1\"\n\t\t\tid=\"yotuwp-6a1dca54d3934\"\n\t\t\tdata-yotu=\"6a1dca54ea538\"\n\t\t\tdata-total=\"1\"\n\t\t\tdata-settings=\"eyJ0eXBlIjoidmlkZW9zIiwiaWQiOiJoRnJzOXZBOHRCYyxoaHBZWWRmcjZ0ZyIsInBhZ2luYXRpb24iOiJvbiIsInBhZ2l0eXBlIjoicGFnZXIiLCJjb2x1bW4iOiI2IiwicGVyX3BhZ2UiOiI0IiwidGVtcGxhdGUiOiJncmlkIiwidGl0bGUiOiJvbiIsImRlc2NyaXB0aW9uIjoib24iLCJ0aHVtYnJhdGlvIjoiMTY5IiwibWV0YSI6Im9mZiIsIm1ldGFfZGF0YSI6Im9mZiIsIm1ldGFfcG9zaXRpb24iOiJvZmYiLCJkYXRlX2Zvcm1hdCI6Im9mZiIsIm1ldGFfYWxpZ24iOiJvZmYiLCJzdWJzY3JpYmUiOiJvZmYiLCJkdXJhdGlvbiI6Im9mZiIsIm1ldGFfaWNvbiI6Im9mZiIsIm5leHR0ZXh0IjoiIiwicHJldnRleHQiOiIiLCJsb2FkbW9yZXRleHQiOiIiLCJwbGF5ZXIiOnsibW9kZSI6ImxhcmdlIiwid2lkdGgiOiI2MDAiLCJzY3JvbGxpbmciOiIxMDAiLCJhdXRvcGxheSI6MCwiY29udHJvbHMiOjEsIm1vZGVzdGJyYW5kaW5nIjoxLCJsb29wIjowLCJhdXRvbmV4dCI6MCwic2hvd2luZm8iOjEsInJlbCI6MCwicGxheWluZyI6MCwicGxheWluZ19kZXNjcmlwdGlvbiI6MCwidGh1bWJuYWlscyI6MCwiY2NfbG9hZF9wb2xpY3kiOiIxIiwiY2NfbGFuZ19wcmVmIjoiMSIsImhsIjoiIiwiaXZfbG9hZF9wb2xpY3kiOiIxIn0sImxhc3RfdGFiIjoicGxheWVyIiwidXNlX2FzX21vZGFsIjoib2ZmIiwibW9kYWxfaWQiOiJvZmYiLCJsYXN0X3VwZGF0ZSI6IjE1NDE5MDExOTIiLCJzdHlsaW5nIjp7InBhZ2VyX2xheW91dCI6ImRlZmF1bHQiLCJidXR0b24iOiIxIiwiYnV0dG9uX2NvbG9yIjoiIiwiYnV0dG9uX2JnX2NvbG9yIjoiIiwiYnV0dG9uX2NvbG9yX2hvdmVyIjoiIiwiYnV0dG9uX2JnX2NvbG9yX2hvdmVyIjoiIiwidmlkZW9fc3R5bGUiOiJncGx1cyIsInBsYXlpY29uX2NvbG9yIjoiIiwiaG92ZXJfaWNvbiI6IiIsImdhbGxlcnlfYmciOiIifSwiZWZmZWN0cyI6eyJ2aWRlb19ib3giOiIiLCJmbGlwX2VmZmVjdCI6IiJ9LCJnYWxsZXJ5X2lkIjoiNmExZGNhNTRkMzkzNCJ9\"\n\t\t\tdata-player=\"large\"\n\t\t\tdata-showdesc=\"on\" >\n\t\t\t\t<div>\n\t\t\t\t\t\t\t\t\t\t<div class=\"yotu-wrapper-player\" style=\"width:600px\">\n\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"yotu-player\">\n\t\t\t\t\t\t\t<div class=\"yotu-video-placeholder\" id=\"yotu-player-6a1dca54ea538\"><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"yotu-playing-status\"><\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div class=\"yotu-pagination yotu-hide yotu-pager_layout-default yotu-pagination-top\">\n<a href=\"#\" class=\"yotu-pagination-prev yotu-button-prs yotu-button-prs-1\" data-page=\"prev\">Prev<\/a>\n<span class=\"yotu-pagination-current\">1<\/span> <span>of<\/span> <span class=\"yotu-pagination-total\">1<\/span>\n<a href=\"#\" class=\"yotu-pagination-next yotu-button-prs yotu-button-prs-1\" data-page=\"next\">Next<\/a>\n<\/div>\n<div class=\"yotu-videos yotu-mode-grid yotu-preset yotu-preset-gplus yotu-column-6 yotu-player-mode-large\">\n\t<ul>\n\t\t\t\t\t<li class=\" yotu-first\">\n\t\t\t\t\t\t\t\t<a href=\"#hFrs9vA8tBc\" class=\"yotu-video\" data-videoid=\"hFrs9vA8tBc\" data-title=\"ACLS Acute Coronary Syndrome (ACS) Algorithm | Training Video\" title=\"ACLS Acute Coronary Syndrome (ACS) Algorithm | Training Video\">\n\t\t\t\t\t<div class=\"yotu-video-thumb-wrp\">\n\t\t\t\t\t\t<div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" class=\"yotu-video-thumb\" src=\"https:\/\/i.ytimg.com\/vi\/hFrs9vA8tBc\/sddefault.jpg\" alt=\"ACLS Acute Coronary Syndrome (ACS) Algorithm | Training Video\">\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<h3 class=\"yotu-video-title\">ACLS Acute Coronary Syndrome (ACS) Algorithm | Training Video<\/h3>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"yotu-video-description\"><\/div>\n\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\n\t\t\t\t\t\t<li class=\" yotu-last\">\n\t\t\t\t\t\t\t\t<a href=\"#hhpYYdfr6tg\" class=\"yotu-video\" data-videoid=\"hhpYYdfr6tg\" data-title=\"What is Acute Coronary Syndrome (ACS)? | ACLS Training Video\" title=\"What is Acute Coronary Syndrome (ACS)? | ACLS Training Video\">\n\t\t\t\t\t<div class=\"yotu-video-thumb-wrp\">\n\t\t\t\t\t\t<div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" class=\"yotu-video-thumb\" src=\"https:\/\/i.ytimg.com\/vi\/hhpYYdfr6tg\/sddefault.jpg\" alt=\"What is Acute Coronary Syndrome (ACS)? | ACLS Training Video\">\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<h3 class=\"yotu-video-title\">What is Acute Coronary Syndrome (ACS)? | ACLS Training Video<\/h3>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"yotu-video-description\"><\/div>\n\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\n\t\t\t\t<\/ul>\n<\/div><div class=\"yotu-pagination yotu-hide yotu-pager_layout-default yotu-pagination-bottom\">\n<a href=\"#\" class=\"yotu-pagination-prev yotu-button-prs yotu-button-prs-1\" data-page=\"prev\">Prev<\/a>\n<span class=\"yotu-pagination-current\">1<\/span> <span>of<\/span> <span class=\"yotu-pagination-total\">1<\/span>\n<a href=\"#\" class=\"yotu-pagination-next yotu-button-prs yotu-button-prs-1\" data-page=\"next\">Next<\/a>\n<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t\n<p>&nbsp;<\/p>\n<h2>What is Acute Coronary Syndrome<\/h2>\n<p><span style=\"font-weight: 400;\">An initial 12-lead ECG is used as part of the identification process for all acute coronary syndrome (ACS) cases. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">The three ECG categories for acute coronary syndrome include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">ST segment elevation, suggesting an active acute myocardial infarction (AMI)<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">ST segment depression, suggesting ischemia<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Non-diagnostic\/normal ECG \u00a0<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">STEMI (ST elevation myocardial infarction) is the focus of this section, since it is the most time-sensitive for reperfusion therapies. Early treatment can limit the amount and extent of myocardial damage. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">The main goal of a STEMI ACS is to reperfuse the myocardial tissue that is being damaged by a blockage. \u00a0Reperfusion may involve the use of coronary angiography with balloon angioplasty and stenting, known as percutaneous coronary intervention (PCI). \u00a0When PCI is used as the initial reperfusion treatment for STEMI, it is referred to as primary PCI.<\/span><\/p>\n<h2>Acute Coronary Syndrome Treatment<\/h2>\n<p><span style=\"font-weight: 400;\">Treatments other than primary PCI include but are not limited to:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\"><a href=\"https:\/\/www.proacls.com\/wiki\/acls-pharmacology\/oxygen\/\"><span style=\"font-weight: 400;\">Oxygen<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\"><a href=\"https:\/\/www.proacls.com\/wiki\/acls-pharmacology\/aspirin\/\">Aspirin<\/a> (ASA)<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\"><a href=\"https:\/\/www.proacls.com\/wiki\/acls-pharmacology\/nitroglycerin\/\">Nitroglycerin<\/a> (sublingual tablet or spray)<\/span><\/li>\n<li style=\"font-weight: 400;\"><a href=\"https:\/\/www.proacls.com\/wiki\/acls-pharmacology\/fibrinolytic-agents\/\"><span style=\"font-weight: 400;\">Fibrinolytic therapy<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Heparin &#8211; UFH (unfractionated Heparin) or LWMH (low-molecular-weight Heparin)<\/span><\/li>\n<\/ul>\n<h2>Adult Acute Coronary Syndrome Algorithm<\/h2>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-554\" src=\"https:\/\/www.proacls.com\/wiki\/wp-content\/uploads\/2018\/10\/image-4.png\" alt=\"Acute Coronary Syndrome\" width=\"696\" height=\"875\" srcset=\"https:\/\/www.proacls.com\/wiki\/wp-content\/uploads\/2018\/10\/image-4.png 696w, https:\/\/www.proacls.com\/wiki\/wp-content\/uploads\/2018\/10\/image-4-239x300.png 239w, https:\/\/www.proacls.com\/wiki\/wp-content\/uploads\/2018\/10\/image-4-48x60.png 48w, https:\/\/www.proacls.com\/wiki\/wp-content\/uploads\/2018\/10\/image-4-119x150.png 119w\" sizes=\"auto, (max-width: 696px) 100vw, 696px\" \/><\/p>\n","protected":false},"excerpt":{"rendered":"<p>&nbsp; What is Acute Coronary Syndrome An initial 12-lead ECG is used as part of the identification process for all acute coronary syndrome (ACS) cases. The three ECG categories for acute coronary syndrome include: ST segment elevation, suggesting an active acute myocardial infarction (AMI) ST segment depression, suggesting ischemia Non-diagnostic\/normal ECG \u00a0 STEMI (ST elevation [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2},"jetpack_post_was_ever_published":false},"categories":[8],"tags":[],"class_list":["post-158","post","type-post","status-publish","format-standard","hentry","category-acls-algorithms"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.7 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Acute Coronary Syndrome (ACS) Algorithm - ACLS Wiki<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.proacls.com\/wiki\/acls-algorithms\/acute-coronary-syndrome\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Acute Coronary Syndrome (ACS) Algorithm - ACLS Wiki\" \/>\n<meta property=\"og:description\" content=\"&nbsp; What is Acute Coronary Syndrome An initial 12-lead ECG is used as part of the identification process for all acute coronary syndrome (ACS) cases. 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