Clinical

STEMI

NSTEMI angina

Unstable

Stable angina

Non cardiac chest pain

ECG

Agonizing pain

Rest pain, DM, post MI, prior ASA

Exertional pain

Atypical pain

Cardiac markers

ST elevation

ST, T wave changes

Negative

Negative

Risk assessment

Positive

Positive High risk 11

Negative

Negative

STEMI

Low risk

Low probability