Evidence map›Paper›PMID 41693087›Full record

GuidelineThe Medical journal of Australia2026

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

David B Brieger, Louise A Cullen, Tom G Briffa, Sarah Zaman, Ian A Scott, Cynthia Papendick, Elaine Ho, Victoria Leitch, Dannii Dougherty, Garry Jennings

Abstract readPractice Guideline
In one paragraph

Guideline in The Medical journal of Australia, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Guideline
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

David B BriegerConcord Repatriation General Hospital, Sydney, New South Wales, Australia.
Louise A CullenRoyal Brisbane and Women's Hospital, Brisbane, Queensland, Australia.ORCID 0000-0001-6611-8229
Tom G BriffaUniversity of Western Australia, Perth, Western Australia, Australia.
Sarah ZamanWestmead Applied Research Centre, University of Sydney, Sydney, New South Wales, Australia.
Ian A ScottUniversity of Queensland, Brisbane, Queensland, Australia.ORCID 0000-0002-7596-0837
Cynthia PapendickRoyal Adelaide Hospital, Adelaide, South Australia, Australia.
Elaine HoNational Heart Foundation of Australia, Melbourne, Victoria, Australia.
Victoria LeitchNational Heart Foundation of Australia, Adelaide, South Australia, Australia.
Dannii DoughertyNational Heart Foundation of Australia, Adelaide, South Australia, Australia.
Garry JenningsNational Heart Foundation of Australia, Melbourne, Victoria, Australia.

Funding

Cardiac Society of Australia and New ZealandNational Heart Foundation of Australia
6 · The paper itself

Abstract

introductionThe Australian clinical guideline for diagnosing and managing acute coronary syndromes 2025 establishes a new clinical standard for the diagnosis and management of acute coronary syndromes (ACS) in Australia. The new guideline replaces the 2016 guideline, representing the first major update in nearly a decade. MAIN RECOMMENDATIONS: The new guideline features critical new information, including: (1) new terminology and revised definition of myocardial infarction; (2) electrocardiogram (ECG) patterns of acute coronary occlusion myocardial infarction (ACOMI), beyond ST-segment elevation; (3) use of clinical decision pathways incorporating high-sensitivity cardiac troponin (hs-cTn) assays for more efficient risk assessment; (4) stronger emphasis on the optimal timing of primary percutaneous coronary intervention in people with ST-segment elevation myocardial infarction (STEMI); (5) use of intravascular imaging-guided percutaneous coronary intervention in people with non-ST-segment elevation acute coronary syndromes (NSTEACS); (6) treatment guidance for specific groups, including those with cardiogenic shock, multivessel disease or spontaneous coronary artery dissection; (7) timing of platelet P2Y CHANGES IN MANAGEMENT AS A RESULT OF THE GUIDELINE: The new guideline introduces key practice changes including broader recognition of ECG patterns of ACOMI, integration of hs-cTn testing into clinical decisions pathways and selective use of intravascular imaging in NSTEACS. Updated P2Y

Indexed as

Acute Coronary SyndromeAustraliaElectrocardiographyHumansNew ZealandPercutaneous Coronary InterventionTroponinTroponinacute coronary syndromecoronary artery diseaseinterventional cardiologymyocardial infarctionmyocardial ischaemiatroponin

Identifiers

PMID41693087
PMCPMC12907536

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.