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All patients with a confirmed acute coronary syndrome require admission to hospital telemetry unit r1r2
For patients with ST-elevation myocardial infarction who present at a facility without the ability to perform percutaneous coronary intervention, transfer to a hospital with appropriate facilities if the transfer can be achieved within first-medical-contact-to-balloon-time window of 90 minutes or less r2
Initial treatment in all patients
For ST-elevation myocardial infarction r2r25
For non–ST-elevation myocardial infarction or unstable angina
Secondary prevention r23
Initial supportive care includes oxygen therapy; therapeutic reperfusion includes coronary revascularization procedures (percutaneous coronary intervention or coronary artery bypass graft surgery) r1r2c189
Risk reduction strategies for secondary prevention