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Acute Coronary Syndrome / Acute Myocardial Infarction Algorithm
Acute Coronary Syndrome / Acute Myocardial Infarction Algorithm
•Isoelectric
•Normally
deviate bet. -0.5
& +1mm from the
baseline
INFARCT ISCHEMIA
2015 UPDATED
RECOMMENDATIONS
• Pre-hospital 12-L ECG acquired early for patients with
possible ACS (Class I, LOE B)
AMI Algorithm
Absolute Contraindications to Beta
blocker Therapy
AMI Algorithm
Assess the Initial ECG
AMI Algorithm
Develops high •Non-diagnostic
Start Adjunctive treatments
or intermediate ECG
•NTG risk criteria
•Heparin (UFH/LMWH) or troponin •Intermediate/
•Clopidogrel Yes positive low risk
•Glycoprotein IIb/IIIa unstable angina
receptor inhibitors No
•B-blockers Admit to ED chest pain unit or to
monitored bed
•Serial serum markers
Assess clinical status
•Repeat ECG/ continuous ST
monitoring
Clinically stable •Consider stress test