Abstract

The diagnosis of acute coronary syndrome (ACS) in a primary care setting is challenging; it is seldom seen, compared to other more benign conditions presenting with chest pain, and missing the diagnosis can be catastrophic for the patient. Prompt diagnosis facilitates access to early revascularisation which improves outcomes. This article will update general practitioners on the diagnosis and management of acute coronary syndromes and provides case-based examples with ECGs to improve diagnostic confidence.