[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-373092-105":59,"doc-detail-373092-en":130},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":123,"head_meta":125,"extra_data":127,"updated_unix":129},105,"en","acute-coronary-syndromes-algorithm-algorithm","Acute Coronary Syndromes Algorithm - Algorithm","","Acute Coronary Syndromes Algorithm outlines an emergency decision pathway for rapid identification and treatment of STEMI and NSTE-ACS using ECG findings, timing from symptom onset, and validated risk stratification tools such as TIMI or GRACE. It specifies reperfusion goals without delay for patients presenting within ≤12 hours and distinguishes high-risk NSTE-ACS features that call for early invasive strategy. It also details immediate prehospital and emergency department care priorities including ABCs, monitoring, aspirin, nitroglycerin, analgesia, diagnostics, and fibrinolysis safety checks.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/acute-coronary-syndromes-algorithm-algorithm/373092/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/acute-coronary-syndromes-algorithm-algorithm/373092.png","ImageObject",300,407,{"name":92,"@type":93},"Pentious","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-31","2026-09-23",true,{"@type":102,"interactionType":103,"userInteractionCount":44},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"How should STEMI be identified and what is the key ECG criterion?","Question",{"text":112,"@type":113},"Use 12-lead ECG findings. ST elevation or new/presumably new LBBB that is strongly suspicious for injury supports STEMI, prompting immediate action.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"What are the reperfusion time goals for patients with symptom onset ≤12 hours?",{"text":117,"@type":113},"For PCI, target first medical contact-to-balloon inflation ≤90 minutes. For fibrinolysis (door-to-needle), target ≤30 minutes.",{"name":119,"@type":110,"acceptedAnswer":120},"How is risk stratification performed for NSTE-ACS, and what determines high-risk status?",{"text":121,"@type":113},"Classify patients as high risk or low/intermediate risk using a validated tool such as TIMI or GRACE. High-risk features include ST depression or dynamic T-wave inversion, elevated troponin, hemodynamic instability, refractory ischemic discomfort, recurrent/persistent ST deviation, ventricular tachycardia, and signs of heart failure.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},373092,1790821055,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":44,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":8,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":81},1374404730887,"https://ap-avatar.wpscdn.com/davatar_6f874abed73319feea01a86fa6f0fab8","Acute Coronary Syndromes Algorithm  \nFurther Your Knowledge!  All links connect to videos, articles, quizzes or other materials to enhance your learning experience.  \n12-Lead ECG Interpretation  \nST elevation or new or presumably new LBBB; strongly suspicious for injury  \nST elevation MI (STEMI)  \nInitiate adjunctive therapies as indicated  \nDo not delay reperfusion  \nTime from the patient‘s  \nonset of symptoms ≤ 12 hours?  \nReperfusion goals:  \nTherapy defined by patient and center criteria  \nFirst medical contact-toballoon inflation (PCI) goal of ≤ 90 minutes  \nDoor-to-needle (fibrinolysis) goal of ≤ 30 minutes  \n> 12 hours  \nNSTE-ACS Risk Assessment Classify patients as high risk or low/intermediate risk using a validated tool such as TIMI or GRACE  \nHigh-Risk NSTE-ACS  \nST depression or dynamic T wave inversion; strongly suspicious for ischemia  \nHigh-risk patient or elevated troponin Consider early invasive strategy if:  \nHemodynamic instability Refractory ischemic chest discomfort Recurrent/persistent ST deviation Ventricular tachycardia  \nSigns of heart failure  \nInitiate adjunctive therapies  \n(e.g. , nitroglycerin, heparin) as indicated  \nSee AHA/ACC NSTE-ACS Guidelines  \n13  \nLow-/intermediate-Risk NSTE-ACS  \nNormal ECG or changes in T wave or ST segment  \nConsider admission to cardiac unit or to appropriate bed for continued monitoring and possible intervention  \n≤ 12 hours  \nPatient presentation suggestive of ischemia or infarction  \nEMS assessment and care and hospital preparation  \nMonitor and support ABCs. Be prepared to provide CPR and defibrillation  \nAdminister aspirin and consider oxygen, nitroglycerin, and morphine  \nObtain 12-lead ECG. If ST elevation:  \n-Notify receiving hospital with transmission or interpretation  \n-Note time of onset and first medical contact  \nReceiving hospital should mobilize resources to respond to STEMI  \nIf considering prehospital fibrinolysis, use fibrinolytic checklist  \nConcurrent ED assessment (\u003C 10 minutes) Immediate ED general treatment  \nAssess vital signs; evaluate oxygen saturation Establish IV access  \nPerform targeted history physical exam Review/complete fibrinolytic checklist;  \ncheck contraindications  \nObtain initial cardiac marker levels,  \ninitial electrolyte and coagulation studies Obtain portable chest X-ray (\u003C 30 minutes)  \nTitrate SpO2 to ≥ 90%  \nAspirin 162 mg to 325 mg (if not given by EMS) Nitroglycerin sublingual or spray  \nMorphine IV if discomfort not relieved by nitroglycerin  \n© ACLS Certification Association  \n[www.aclscertification.org | 1-800-448-0734](www.aclscertification.org | 1-800-448-0734)  \nFast, Convenient, 100% Online  \nEarn your ACLS, PALS, Neonatal or BLS in 1-2 hours. Certify or Recertify Today!","cbCaipkgRwF7cU5u","https://ap.wps.com/l/cbCaipkgRwF7cU5u","pdf",226565,"English","# 12-Lead ECG Interpretation\n## STEMI pathway and reperfusion goals\n## NSTE-ACS risk assessment and management\n# Prehospital and ED immediate care\n## EMS actions and monitoring\n## ED assessment, ECG timing, and treatments\n## Diagnostic studies and fibrinolysis checklist","[{\"question\":\"How should STEMI be identified and what is the key ECG criterion?\",\"answer\":\"Use 12-lead ECG findings. ST elevation or new/presumably new LBBB that is strongly suspicious for injury supports STEMI, prompting immediate action.\"},{\"question\":\"What are the reperfusion time goals for patients with symptom onset ≤12 hours?\",\"answer\":\"For PCI, target first medical contact-to-balloon inflation ≤90 minutes. For fibrinolysis (door-to-needle), target ≤30 minutes.\"},{\"question\":\"How is risk stratification performed for NSTE-ACS, and what determines high-risk status?\",\"answer\":\"Classify patients as high risk or low/intermediate risk using a validated tool such as TIMI or GRACE. High-risk features include ST depression or dynamic T-wave inversion, elevated troponin, hemodynamic instability, refractory ischemic discomfort, recurrent/persistent ST deviation, ventricular tachycardia, and signs of heart failure.\"}]","Acute Coronary Syndromes Algorithm - Algorithm | PDF",1790196746]