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[Comment] Timing of revascularisation for acute coronary syndrome

Acute coronary syndrome is predominantly caused by a luminal thrombus or a sudden plaque haemorrhage imposed on an atherosclerotic plaque with or without an accompanying vasospasm.1 A luminal thrombus forms as a direct consequence of plaque rupture or erosion (if plaque rupture is not identifiable on intracoronary imaging).2 Initial electrocardiography can be used to distinguish ST-segment elevation myocardial infarction (STEMI) and non-ST-segment elevation acute coronary syndrome (NSTE-ACS).

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