Module 09
Acute Coronary Syndrome
Recognize ACS, obtain the 12-lead ECG, and pursue rapid reperfusion therapy.
Recognize ACS
- Chest pain
- Radiation (jaw, arm, back)
- Diaphoresis
- Nausea
- Hypotension
Immediate Priorities
1
Obtain 12-lead ECG
As quickly as possible — ideally within 10 minutes of arrival.
2
Chew aspirin
162–325 mg chewed for rapid antiplatelet effect.
3
Rapid PCI
Primary reperfusion strategy for STEMI.
Door-to-Balloon Goal
≤ 90 minutes
The time from hospital arrival to balloon inflation during PCI — a critical quality metric in STEMI care.
Clinical Pearl
Time is muscle — every minute of delay in reperfusion means more myocardium lost. The 12-lead ECG is the single most important diagnostic tool.
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