First medical contact and emergency care flow | Emergency medical system | Not established | Emergency medical system |
| Working diagnosis: history, clinical symptoms, 12-lead ECG | Working diagnosis: history, clinical symptoms, chest radiography | Working diagnosis: history, clinical symptoms, chest radiography |
| Biomarker (troponin) | Biomarker (procalcitonin, adrenomedullin) | Biomarker (procalcitonin, adrenomedullin) |
Pre-hospital and early in-hospital care | Reperfusion | Antibiotics | Antibiotics |
Oxygen and/or ventilatory support | Oxygen and/or ventilatory support |
| Early goal-directed therapy |
| Timescales: door-to-balloon, door-to-needle | Not established | Timescales: door-to-antibiotic, door-to-fluid resuscitation, 6-h timescale of severe sepsis |
|
Management of the later in-hospital course | Cardiac failure Thrombosis and embolism Intraventricular thrombus and emboli Pericarditis Late ventricular arrhythmias Post-infarction angina and ischaemia | Pneumonic: parapneumonic effusion, empyema, abscess | Pneumonic: parapneumonic effusion, empyema, abscess |
Nonpneumonic: others | Nonpneumonic: others |
Risk assessment | Myocardial viability Risk of arrhythmia and sudden death | Not defined | Unknown |
Rehabilitation and pre-discharge advice | Psychological and socioeconomic | Not defined | Psychological and socioeconomic |
| Lifestyle advice | | Lifestyle advice |
| Physical activity | | Physical activity |
Secondary prevention | Lifestyle habits: smoking, diet weight control, physical activity | Not defined | Lifestyle habits: smoking, diet, dietary supplements, weight control, physical activity |
| Drugs: antiplatelet and anticoagulant treatment, statins, β-blockers, angiotensin-converting enzyme or angiotension receptor blockers, aldosterone blockade | Not defined | Unknown |
| Control of atherosclerotic risk factors: blood pressure, diabetes, lipid profile, influenza vaccination | Not defined | Unknown |
| | Influenza vaccination | Influenza vaccination |
| | Pneumococcal vaccination | Pneumococcal vaccination |