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2020 Acute Coronary Syndromes (ACS) in Patients Presenting without Persistent ST-Segment Elevation (Management of) Guidelines

ESC Clinical Practice Guidelines

The clinical presentation of acute coronary syndromes (ACS) is broad. It ranges from cardiac arrest, electrical or haemodynamic instability with cardiogenic shock (CS) due to ongoing ischaemia or mechanical complications such as severe mitral regurgitation, to patients who are already pain free again at the time of presentation.

The leading symptominitiating the diagnostic and therapeutic cascade in patients with suspected ACS is acute chest discomfort described as pain, pressure, tightness, and burning. Chest pain-equivalent symptoms may include dyspnoea, epigastric pain, and pain in the left arm.

For more info read the Full Text and the Supplementary Data documents.

Imaging
Acute Cardiac Care
Acute Coronary Syndromes


Main resources


Full text and related materials

Full text
https://doi.org/10.1093/eurheartj/ehaa575

Declarations of interest

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Guidelines version available to download
 2020
 doi:10.1093/eurheartj/ehaa575
 2021
 https://doi.org/10.1093/eurheartj/ehab285
 2021
 doi.org/10.1093/eurheartj/ehab088
 2020
 10.1093/eurheartj/ehaa895
Q&A
 2020
 doi:10.1093/eurheartj/ehaa601
Q&A
 2020
 doi:10.1093/eurheartj/ehaa602
 2020
 TOC NSTE-ACS Pocket Guidelines
App
 2020
 ESC Pocket Guidelines App
 2021
 123 Slides
 
 
Previous version available to download
 2015
 European Heart Journal, doi/10.1093/eurheartj/ehv320
 2015
 Web Addenda - doi:10.1093/eurheartj/ehv320
Q&A
 2015
 Q&A antithrombotic treatment NSTE-ACS GL - doi:10.1093/eurheartj/ehv407
Q&A
 2015
 Q&A myocardial revascularization NSTE-ACS GL - doi:10.1093/eurheartj/ehv408
Q&A
 2015
 Q&A diagnosis and risk assessment NSTE-ACS GL - doi:10.1093/eurheartj/ehv409
 2011
 Addenda
 2011
 European Heart Journal (2011) 32, 2999–3054