National Heart Foundation of Australia & Cardiac Society of Australia and New Zealand: Comprehensive Australian Clinical Guideline for Diagnosing and Managing Acute Coronary Syndromes 2025

David Brieger; Louise Cullen; Tom Briffa; Sarah Zaman; Ian Scott; Cynthia Papendick; Kimberley Bardsley; Angus Baumann; Alexandra Sasha Bennett; Robyn A. Clark; J. James Edelman; Sally C. Inglis; Lisa Kuhn; Adam Livori; Julie Redfern; Hans Schneider; Jeanine Stewart; Liza Thomas; Edwina Wing-Lun; Ling Zhang; Elaine Ho; Stacey Matthews; other members of the Heart Foundation Working Group. Electronic address: clinicalevidence@heartfoundation.org.au

doi:10.1016/j.hlc.2025.02.102

National Heart Foundation of Australia & Cardiac Society of Australia and New Zealand: Comprehensive Australian Clinical Guideline for Diagnosing and Managing Acute Coronary Syndromes 2025

David Brieger, Louise Cullen, Tom Briffa, Sarah Zaman, Ian Scott, Cynthia Papendick, Kimberley Bardsley, Angus Baumann, Alexandra Sasha Bennett, Robyn A. Clark, J. James Edelman, Sally C. Inglis, Lisa Kuhn, Adam Livori, Julie Redfern, Hans Schneider, Jeanine Stewart, Liza Thomas, Edwina Wing-Lun, Ling ZhangElaine Ho, Stacey Matthews, other members of the Heart Foundation Working Group. Electronic address: [email protected]

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Abstract

This guideline has been developed to assist in the diagnosis and management of people presenting with symptoms suggestive of acute coronary syndromes (ACS), or with confirmed ACS. ACS are conditions involving sudden reduced blood flow to the heart. The main types are acute myocardial infarction (AMI) and unstable angina.

The guideline recommendations are based on contemporary evidence and are intended to meet the needs of clinicians caring for the majority of people, recognising that recommendations should inform, but not replace, clinical judgement.

Shared decision making is recommended and should be based on the person’s values, preferences and circumstances. Clear communication with the person and their support people is critical to these discussions.

This guideline was developed in consultation with a broad range of clinical experts and people with lived experience, representing different geographic regions, sex, genders, ethnicities, clinical settings and perspectives. Organisations, including those with people with lived experience interests and professional expertise, were involved.

Original language	English
Pages (from-to)	309-397
Number of pages	89
Journal	Heart, lung & circulation
Volume	34
Issue number	4
DOIs	https://doi.org/10.1016/j.hlc.2025.02.102
Publication status	Published - Apr 2025

Keywords

National Heart Foundation of Australia & Cardiac Society of Australia and New Zealand
Comprehensive Australian Clinical Guideline
acute coronary syndrome

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Brieger, D., Cullen, L., Briffa, T., Zaman, S., Scott, I., Papendick, C., Bardsley, K., Baumann, A., Bennett, A. S., Clark, R. A., Edelman, J. J., Inglis, S. C., Kuhn, L., Livori, A., Redfern, J., Schneider, H., Stewart, J., Thomas, L., Wing-Lun, E., ... other members of the Heart Foundation Working Group. Electronic address: [email protected] (2025). National Heart Foundation of Australia & Cardiac Society of Australia and New Zealand: Comprehensive Australian Clinical Guideline for Diagnosing and Managing Acute Coronary Syndromes 2025. Heart, lung & circulation, 34(4), 309-397. https://doi.org/10.1016/j.hlc.2025.02.102

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abstract = "This guideline has been developed to assist in the diagnosis and management of people presenting with symptoms suggestive of acute coronary syndromes (ACS), or with confirmed ACS. ACS are conditions involving sudden reduced blood flow to the heart. The main types are acute myocardial infarction (AMI) and unstable angina.The guideline recommendations are based on contemporary evidence and are intended to meet the needs of clinicians caring for the majority of people, recognising that recommendations should inform, but not replace, clinical judgement.Shared decision making is recommended and should be based on the person{\textquoteright}s values, preferences and circumstances. Clear communication with the person and their support people is critical to these discussions.This guideline was developed in consultation with a broad range of clinical experts and people with lived experience, representing different geographic regions, sex, genders, ethnicities, clinical settings and perspectives. Organisations, including those with people with lived experience interests and professional expertise, were involved.",

keywords = "National Heart Foundation of Australia & Cardiac Society of Australia and New Zealand, Comprehensive Australian Clinical Guideline, acute coronary syndrome",

author = "David Brieger and Louise Cullen and Tom Briffa and Sarah Zaman and Ian Scott and Cynthia Papendick and Kimberley Bardsley and Angus Baumann and Bennett, {Alexandra Sasha} and Clark, {Robyn A.} and Edelman, {J. James} and Inglis, {Sally C.} and Lisa Kuhn and Adam Livori and Julie Redfern and Hans Schneider and Jeanine Stewart and Liza Thomas and Edwina Wing-Lun and Ling Zhang and Elaine Ho and Stacey Matthews and {other members of the Heart Foundation Working Group. Electronic address: [email protected]}",

year = "2025",

month = apr,

doi = "10.1016/j.hlc.2025.02.102",

language = "English",

volume = "34",

pages = "309--397",

journal = "Heart, lung & circulation",

issn = "1443-9506",

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Brieger, D, Cullen, L, Briffa, T, Zaman, S, Scott, I, Papendick, C, Bardsley, K, Baumann, A, Bennett, AS, Clark, RA, Edelman, JJ, Inglis, SC, Kuhn, L, Livori, A, Redfern, J, Schneider, H, Stewart, J, Thomas, L, Wing-Lun, E, Zhang, L, Ho, E, Matthews, S & other members of the Heart Foundation Working Group. Electronic address: [email protected] 2025, 'National Heart Foundation of Australia & Cardiac Society of Australia and New Zealand: Comprehensive Australian Clinical Guideline for Diagnosing and Managing Acute Coronary Syndromes 2025', Heart, lung & circulation, vol. 34, no. 4, pp. 309-397. https://doi.org/10.1016/j.hlc.2025.02.102

National Heart Foundation of Australia & Cardiac Society of Australia and New Zealand: Comprehensive Australian Clinical Guideline for Diagnosing and Managing Acute Coronary Syndromes 2025. / Brieger, David; Cullen, Louise; Briffa, Tom et al.
In: Heart, lung & circulation, Vol. 34, No. 4, 04.2025, p. 309-397.

Research output: Contribution to journal › Article › peer-review

TY - JOUR

T1 - National Heart Foundation of Australia & Cardiac Society of Australia and New Zealand

T2 - Comprehensive Australian Clinical Guideline for Diagnosing and Managing Acute Coronary Syndromes 2025

AU - Brieger, David

AU - Cullen, Louise

AU - Briffa, Tom

AU - Zaman, Sarah

AU - Scott, Ian

AU - Papendick, Cynthia

AU - Bardsley, Kimberley

AU - Baumann, Angus

AU - Bennett, Alexandra Sasha

AU - Clark, Robyn A.

AU - Edelman, J. James

AU - Inglis, Sally C.

AU - Kuhn, Lisa

AU - Livori, Adam

AU - Redfern, Julie

AU - Schneider, Hans

AU - Stewart, Jeanine

AU - Thomas, Liza

AU - Wing-Lun, Edwina

AU - Zhang, Ling

AU - Ho, Elaine

AU - Matthews, Stacey

AU - other members of the Heart Foundation Working Group. Electronic address: [email protected]

PY - 2025/4

Y1 - 2025/4

N2 - This guideline has been developed to assist in the diagnosis and management of people presenting with symptoms suggestive of acute coronary syndromes (ACS), or with confirmed ACS. ACS are conditions involving sudden reduced blood flow to the heart. The main types are acute myocardial infarction (AMI) and unstable angina.The guideline recommendations are based on contemporary evidence and are intended to meet the needs of clinicians caring for the majority of people, recognising that recommendations should inform, but not replace, clinical judgement.Shared decision making is recommended and should be based on the person’s values, preferences and circumstances. Clear communication with the person and their support people is critical to these discussions.This guideline was developed in consultation with a broad range of clinical experts and people with lived experience, representing different geographic regions, sex, genders, ethnicities, clinical settings and perspectives. Organisations, including those with people with lived experience interests and professional expertise, were involved.

AB - This guideline has been developed to assist in the diagnosis and management of people presenting with symptoms suggestive of acute coronary syndromes (ACS), or with confirmed ACS. ACS are conditions involving sudden reduced blood flow to the heart. The main types are acute myocardial infarction (AMI) and unstable angina.The guideline recommendations are based on contemporary evidence and are intended to meet the needs of clinicians caring for the majority of people, recognising that recommendations should inform, but not replace, clinical judgement.Shared decision making is recommended and should be based on the person’s values, preferences and circumstances. Clear communication with the person and their support people is critical to these discussions.This guideline was developed in consultation with a broad range of clinical experts and people with lived experience, representing different geographic regions, sex, genders, ethnicities, clinical settings and perspectives. Organisations, including those with people with lived experience interests and professional expertise, were involved.

KW - National Heart Foundation of Australia & Cardiac Society of Australia and New Zealand

KW - Comprehensive Australian Clinical Guideline

KW - acute coronary syndrome

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U2 - 10.1016/j.hlc.2025.02.102

DO - 10.1016/j.hlc.2025.02.102

M3 - Article

C2 - 40180468

AN - SCOPUS:105002836723

SN - 1443-9506

VL - 34

SP - 309

EP - 397

JO - Heart, lung & circulation

JF - Heart, lung & circulation

IS - 4

ER -

National Heart Foundation of Australia & Cardiac Society of Australia and New Zealand: Comprehensive Australian Clinical Guideline for Diagnosing and Managing Acute Coronary Syndromes 2025

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