Snapshot A 50-year-old man presents to the emergency department after experiencing chest pain. He describes the pain as pressure-like that affects the sternum and radiates down the left arm. Medical history is significant for hypertension, hypercholesterolemia, and type II diabetes. He smokes 1 pack of cigarettes per day for the past 20 years. On physical exam, the patient appears anxious and diaphoretic. An electrocardiogram demonstrates an ST-segment elevation in leads V1 and V2. Cardiac troponins are sent. He is given aspirin, nitroglycerin, metoprolol, clopidogrel, and unfractionated heparin. The cardiac catheterization lab is activated and the cardiologist is consulted. Introduction Appropriate treatment for acute coronary syndrome must be instituted immediately in order to login to view 3 more bullets NSTEMI and Unstable Angina (UA) Introduction login to view 6 more bullets Medications login to view 44 more bullets ST-Segment Elevation Myocardial Infarction (STEMI) Introduction login to view 10 more bullets Reperfusion therapy login to view 7 more bullets Adjunctive Therapy Angiotensin-converting enzyme (ACE) inhibitors (e.g., lisinopril) login to view 2 more bullets Statins (e.g., atorvastatin) login to view 1 more bullet