Cardiac Algorithm - Step 2

Acute Coronary Syndrome?

Does the patient have an acute myocardial ischemia for which the patient should undergo evaluation and treatment before surgery?

Yes, Has Acute Coronary Syndrome
  • Non-emergency surgery
  • Acute coronary syndrome
  • Evaluate & treat acute coronary syndrome according to guideline directed medical therapy
  • Then reconsider Operating Room, with attention to timing of surgery after a cardiac event as best as possible, see Timing section
No Acute Coronary Syndrome
(?) acute coronary syndrome
  • Acute coronary syndrome refers to any group of clinical symptoms compatible with acute myocardial ischemia and includes unstable angina (UA), non-ST-segment elevation myocardial infarction (NSTEMI), and ST-segment elevation myocardial infarction (STEMI)