Acute coronary syndrome - 2018

Acute coronary syndrome (ACM) is one of the most frequent causes of death in our population. Common risk factors such as bad eating habits, obesity, hypertension, diabetes mellitus and smoking are responsible for its development. This algorithm aims at right diagnostics of ACM as well as STEMI and non-STEMI differentiation which is necessary for the right choice of treatment.

myocardial infarction
Published at: 1.6.2018


Jan Přeček, MD, PhD
Physician, Department of Internal Medicine I - Cardiology, University Hospital, Olomouc, Czech Republic

The interactive educational algorithm "Acute Coronary Syndrome" presents the case of a patient with chest pain; from first contact with a GP, through treatment of acute coronary syndrome in the cardiac center to a recommendation for long-term treatment.

Different variants of acute coronary syndrome are presented, as are some of their common complications. The treatment procedures and the most common mistakes are detailed.

In the case of chest pain, precise differential diagnosis based on the patient’s risk profile is required.
When acute coronary syndrome is suspected, complex pharmacotherapy, rapid implementation of interventional treatment, and consistent monitoring for imminent complications are essential.


WIDIMSKÝ, Petr, Petr KALA a Richard ROKYTA. Summary of the 2012 ESC Guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevations. Prepared by the Czech Society of Cardiology*. Cor et Vasa [online]. 2012, 54(5), e273-e289 [viewed 2018-04-08]. DOI: 10.1016/j.crvasa.2012.09.001. ISSN 00108650. Available from:

WIDIMSKÝ, Petr, Richard ROKYTA a Ota HLINOMAZ. Summary of the 2015 ESC Guidelines for the management of acute coronary syndromes in patients presenting without persistent ST-segment elevation. Prepared by the Czech Society of Cardiology. Cor et Vasa [online]. 2016, 58(1), e4-e28 [viewed 2018-04-08]. DOI: 10.1016/j.crvasa.2016.01.003. ISSN 00108650. Available from:

IBANEZ, Borja, Stefan JAMES, Stefan AGEWALL, et al. 2017 ESC Guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation. European Heart Journal [online]. 2018, 39(2), 119-177 [viewed 2018-04-08]. DOI: 10.1093/eurheartj/ehx393. ISSN 0195-668X. Available from:

CHALOUPKA, Václav. Rehabilitace nemocných po infarktu myokardu. Medicína pro praxi [online]. 2004, 1(2), e65-e68 [viewed 2018-04-08]. ISSN 1803-5310. Available from:

JANOTA, Tomáš. Farmakoterapie akutního srdečního selhání-současnost a budoucnost. Intervenční a akutní kardiologie [online]. 2010, 9(5), e258-e263 [viewed 2018-04-08]. ISSN 1803-5302. Available from: 

ZEMÁNEK, David, Tomáš KOVÁRNÍK. Management akutních koronárních syndromů v roce 2016. Postgraduální medicína [online]. 2016, 17(2), e37-e44 [viewed 2018-04-08]. ISSN 1212-4184. Available from:

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