Abstract

Acute coronary syndromes (ACS) remain one of the greatest global causes of mortality and morbidity. Rapid diagnosis and treatment are paramount. Despite scientific advances, the electrocardiogram (ECG) remains the cornerstone of ACS diagnosis, classification, risk stratification and management. In 2002, an expertcommittee of the American College of Cardiology and the European Society of Cardiology redefined ACS. The new definition incorporated the new diagnostic markers of myocyte necrosis, troponins, and also redefined the electrocardiographic criteria for ACS diagnosis (Alpert et al, 2000).

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