Acute coronary syndrome (ACS) refers to conditions caused by reduced blood flow in the coronary arteries. This can be due to plaque buildup narrowing the arteries or plaque rupture leading to clot formation. ACS includes ST-elevation myocardial infarction (STEMI), non-ST-elevation myocardial infarction (NSTEMI), and unstable angina (UA). Patients present with chest pain and may have ECG changes or elevated cardiac biomarkers. Treatment involves oxygen, nitroglycerin, aspirin, and morphine (MONA) along with long-term therapies like antiplatelets, beta-blockers, statins, and ACE inhibitors to prevent future events.