Snapshot A 54-year-old man presents to the emergency department after experiencing pressure-like sternal chest pain that radiates down the left arm. Medical history is significant for hypertension, hypercholesterolemia, and type II diabetes. He smokes 2 packs of cigarettes per day for the past 25 years. On physical exam, the patient appears anxious and diaphoretic. An electrocardiogram demonstrates an ST-segment elevation in leads V1-V4. Cardiac troponins are sent. He is given aspirin, nitroglycerin, metoprolol, clopidogrel, and unfractionated heparin. The cardiac catheterization lab is activated . 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 45 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 Therapy And Their Effect On Mortality Effect on Mortality of Therapy Used in Acute Coronary SyndromesMortality BenefitNo Mortality BenefitAspirinβ-blockersPCIStatinsP2Y12 ADP receptor inhibitorThrombolyticsOxygenMorphineNitratesCalcium channel blockersLidocaineAmiodarone