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Acute Coronary Syndrome

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Immediate Management<br />

I<br />

IIa IIb III<br />

Major<br />

Change<br />

Patients with probable or possible ACS but whose<br />

initial 12-lead ECG and cardiac biomarker levels<br />

are normal should be observed in a facility with<br />

cardiac monitoring (e.g., chest pain unit or<br />

hospital telemetry ward), and repeat ECG (or<br />

continuous 12-lead ECG monitoring) and repeat<br />

cardiac biomarker measurement(s) should be<br />

obtained at predetermined, specified time<br />

intervals*.<br />

*See Section 2.2.8 in Anderson JA, et al. J Am Coll Cardiol 2007:50:e1-e157.<br />

e157.

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