In order to bring you the best possible user experience, this site uses Javascript. If you are seeing this message, it is likely that the Javascript option in your browser is disabled. For optimal viewing of this site, please ensure that Javascript is enabled for your browser.
Did you know that your browser is out of date? To get the best experience using our website we recommend that you upgrade to a newer version. Learn more.
ESC Pocket Guidelines App
ESC Pocket Guidelines App

Get all the latest ESC Pocket Guidelines, plus interactive tools (algorithms, calculators, charts, scores...) in your pocket.

Download
ESC TV – Guidelines
ESC TV – Guidelines

News and opinions on the latest ESC Clinical Practice Guidelines.

Watch now
 

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
Guidelines version available to download
Full text
Published in 2020
Reference doi:10.1093/eurheartj/ehaa575
Corrigendum
Published in 2021
Reference https://doi.org/10.1093/eurheartj/ehab285
Corrigendum
Published in 2021
Reference doi.org/10.1093/eurheartj/ehab088
Corrigendum
Published in 2020
Reference 10.1093/eurheartj/ehaa895
Q&A
Published in 2020
Reference doi:10.1093/eurheartj/ehaa601
Q&A
Published in 2020
Reference doi:10.1093/eurheartj/ehaa602
Pocket guidelines
Published in 2020
Reference TOC NSTE-ACS Pocket Guidelines
App
Published in 2020
Reference ESC Pocket Guidelines App
Slide-set
Published in 2021
Reference 123 Slides
Published in 
Reference 
Declarations of interest
Endorsed by cardiac societies
Bulgarian Society of Cardiology , Czech Society of Cardiology , Estonian Society of Cardiology , French Society of Cardiology , German Cardiac Society , Hungarian Society of Cardiology , North Macedonian Society of Cardiology , Polish Cardiac Society , Portuguese Society of Cardiology , Romanian Society of Cardiology , Russian Society of Cardiology , Cardiology Society of Serbia , Slovak Society of Cardiology , Spanish Society of Cardiology , Tunisian Society of Cardiology and Cardiovascular Surgery , Turkish Society of Cardiology , Ukrainian Association of Cardiology , Association of Cardiologists of Uzbekistan
Previous version available to download
Full text
Published in 2015
Reference European Heart Journal, doi/10.1093/eurheartj/ehv320
Web addenda
Published in 2015
Reference Web Addenda - doi:10.1093/eurheartj/ehv320
Q&A
Published in 2015
Reference Q&A antithrombotic treatment NSTE-ACS GL - doi:10.1093/eurheartj/ehv407
Q&A
Published in 2015
Reference Q&A myocardial revascularization NSTE-ACS GL - doi:10.1093/eurheartj/ehv408
Q&A
Published in 2015
Reference Q&A diagnosis and risk assessment NSTE-ACS GL - doi:10.1093/eurheartj/ehv409
Related materials
Published in 2011
Reference Addenda
Full text
Published in 2011
Reference European Heart Journal (2011) 32, 2999–3054

 

 

 
About the ESC
Press and Media
Information
Follow us

         

 Help centre

 Contact us

© 2021 European Society of Cardiology. All rights reserved.