Introduction: The 2023 European Society of Cardiology (ESC) Guidelines for the management of acute coronary syndromes (ACS) were released at the annual ESC conference in Amsterdam this year. For the first time, all of ACS was covered in one document. This includes ST elevation myocardial infarction (STEMI), non-ST elevation myocardial infarction (NSTEMI) and Unstable Angina (UA). This allowed the guideline to highlight the common principles underpinning the identification, diagnosis, and treatment of patients with all three subtypes of ACS. A key aspect of the guideline was the concept that ACS can be best considered as a spectrum. In this article, we will highlight some of the most important messages from the guideline, many of which are summarised in Figure 1
ACS Terminology
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