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5. Elevasi ST atau LBBB baru atau mungkin baru; sangat curiga terhadap cedera ST-elevasi MI 9. ST DEPRESI atau dinamis T-wave inversion; dengan kuat curiga terhadap iskemia risiko tinggi non-STS elevasi (NSTE-ACS) 11. Perubahan normal atau nondiagnostik di ST segmentbor T wave ACS risiko rendah / menengah 6. mulai terapi ajuvan sesuai indikasi . jangan tunda reperfusi 7. waktu dari timbulnya gejala <12 jam?