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

ESC Clinical Practice Guidelines

19 Aug 2020

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

Endorsed by cardiac societies

Armenian Cardiologists Association , Austrian Society of Cardiology , Belgian Society of Cardiology , Bulgarian Society of Cardiology , Croatian Cardiac Society , Czech Society of Cardiology , Estonian Society of Cardiology , French Society of Cardiology , German Cardiac Society , Hungarian Society of Cardiology , Italian Federation of Cardiology , North Macedonian Society of Cardiology , Polish Cardiac Society , Portuguese Society of Cardiology , Romanian Society of Cardiology , Russian Society of Cardiology* , San Marino 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


Main resources

<br>Full text and related materials

Full text and related materials

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

Declarations of interest

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<br>Scientific Presentation at ESC Congress 2020

Scientific Presentation at ESC Congress 2020

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ESC TV Interview
ESC TV Interview

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Congress News Article
Congress News Article

Insights from the Chairs of the Guidelines Task Force.

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Slide set
Slide set

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Guidelines version available to download
Full text
 2020
 doi:10.1093/eurheartj/ehaa575
Corrigendum
 2021
 https://doi.org/10.1093/eurheartj/ehab285
Corrigendum
 2021
 doi.org/10.1093/eurheartj/ehab088
Corrigendum
 2020
 10.1093/eurheartj/ehaa895
Q&A
 2020
 doi:10.1093/eurheartj/ehaa601
Q&A
 2020
 doi:10.1093/eurheartj/ehaa602
Pocket guidelines
 2020
 TOC NSTE-ACS Pocket Guidelines
App
 2020
 ESC Pocket Guidelines App
Slide-set
 2021
 123 Slides
 
 
Previous version available to download
Full text
 2015
 European Heart Journal, doi/10.1093/eurheartj/ehv320
Web addenda
 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
Related materials
 2011
 Addenda
Full text
 2011
 European Heart Journal (2011) 32, 2999–3054

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