STEMI has a fibrin rich plaque and hence Fibrinolysis is indicated. NSTEMI has fibrin poor clot and hence fibrinolysis is not indicated.

• PCI should be done in STEMI in 90 minutes of first medical contact
• In NSTEMI early invasive strategy is decided by TIMI score. Score of 5-7 will require PCI to be done in 2 hours.
• Mnemonic for medical therapy in NSTE-ACS: ATE- MBBS
• Aspirin Ticagrelor Enoxaparin Morphine, Bust chest pain with nitrates, Beta blockers and Statins

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