European Quality Improvement Programme for Acute Coronary Syndromes

Inclusion Criteria: Patients with a good clinical history of ACS and at least one of the following: * New or transient ST or T wave changes on the ECG consistent with acute myocardial ischaemia * Elevation of troponin or other cardiac markers to levels indicative of myocardial necrosis according to local laboratory values Exclusion Criteria: * Evidence of persistent ST elevation on the ECG * Use of early reperfusion therapy * Patients \>80 years * Patients transferred from another hospital