The document discusses treatment for acute coronary syndrome (ACS) including ST elevation myocardial infarction (STEMI), non-ST elevation myocardial infarction (NSTEMI), and unstable angina (USA). It lists potential causes like pulmonary embolism, acute pericarditis, aortic dissection and provides recommendations on tests like electrocardiogram (ECG), troponin levels, CT scans, and echocardiograms. It then discusses reperfusion options like thrombolysis or primary percutaneous coronary intervention (PCI) depending on time since symptoms. It provides guidance on medications for the acute phase and secondary prevention.

2.  ACS (STEMI/ NSTEMI/ USA)
 PULM EMBO
 ACUTE PERICARDITIS
 AORTIC DISSECTION
 ECG
 TROP I
 CT – PULM ANGIO/ AORTOGRAM
 ECHO – LV RWMA/ RA-RV DILATION
 D-DIMER

5. DISTAL
LAD

6. MID
LAD

7. PROX
LAD

8. PROX
TO
SEPTAL

23. Proximal LAD occlusion

34.  THROMBOLYSE ( STK/TNK/ RTP)TNK: <6HRS,YOUNG
 PRIMARY PCI
 NTG INFUSION FOR PAIN/ MORPHINE
 <3 HRS:TLT=PPCI
 3-6HRS: PCI>TLT
 6-12HRS: PCI>>TLT
 >12 HRS: PCI>>>TLT (IFWMI, ST ELEVATIONOR ANGINA)
 12-24 HRS: PPCI BEST
 24-48 HRS: PPCI OK
 48-72 HRS: PPCI CONSIDERABLE
 >72 HRS:VIABLITY (IF NO ANGINA)
 IF NOTVIABLE: NO POINT OF INTERVENTION

35.  LOADINGASPIRIN 325
 STATIN 40-80
 CLOPI 300/ PASU 60/TICA 180 (NOTWITHTLT)
 ASPIRIN 150 STATIN 40-80
 CLOPIDOGREL 75 OD,PASUGREL 10 OD,TICAGRELOR 90 BD
 BETA BLOCKER LIFELONG (no hf) / IVABRADINE
 ACEI/ARB IF AWMI/ EF<40%
 NITRATE/ NICORANDIL/ RANOLAZINE/TRIMETAZIDINE
 ALDACTONE IF EF<40%
 HEPARIN/ ENOXAPARIN FOR 5-7 DAYS