Table of Contents
1. Introduction
1.1. Definitions acute coronary syndromes and myocardial infarction
2. Triage and diagnosis
2.1. Clinical presentation and physical examination
2.2. Diagnostic tools | Electrocardiogram
2.2.1. Acute coronary syndrome with persistent ST-segment elevation
2.2.2. Acute coronary syndrome without persistent ST-segment elevation (NSTE-ACS)
2.3. Diagnostic tools | Biomarkers
2.3.1. High-sensitivity cardiac troponins
2.4. Diagnostic tools | Non-invasive imaging
3. Initial measures for patients presenting with suspected acute coronary syndrome | Initial treatment
3.1. Pre-hospital logistics of care
4. Acute-phase management of patients with acute coronary syndrome
4.1. Selection of invasive strategy and reperfusion therapy
4.2. Fibrinolysis and pharmaco-invasive strategy in patients with STEMI
5. Antithrombotic therapy
5.1. Antiplatelet therapy in the acute phase
5.2. Antiplatelet therapy in patients requiring oral anticoagulation
5.3. Antithrombotic therapy as an adjunct to fibrinolysis
6. Acute coronary syndrome with unstable presentation
6.1. Cardiogenic shock complicating acute coronary syndrome
7. Management of acute coronary syndrome during hospitalization
8. Technical aspects of invasive strategies
9. Management of patients with multivessel disease
9.1. Management of multivessel disease in acute coronary syndrome complicated by cardiogenic shock
10. Myocardial infarction with non-obstructive coronary arteries
11. Special situations
11.1. Type 2 Myocardial infarction and acute myocardial injury
11.2. Complications
11.3. Comorbid conditions
12. Long-term treatment
13. Patient perspectives
13.1. Patient-centred care
13.2. Patient satisfaction and expectations
13.3. Preparation for discharge
14. Sex differences