Aspirin Decision Tool

Presentation (Suspected ACS)

Chest Pain (Typical/Atypical)

ECG: Ischaemic Changes / LBBB / STEMI

ABSOLUTE CONTRAINDICATIONS

Tick if present:

Allergy / Anaphylaxis to Aspirin/NSAID

Active GI Bleeding (Haematemesis/Melaena)

Suspected Aortic Dissection

Steps / Cautions

On Anticoagulant (Warfarin/DOAC)

History of Peptic Ulcer Disease

Age > 65 years (HAS-BLED Risk)

STATUS

Action

Details here...

Pharmaceutical Services Program, Ministry of Health Malaysia. Anticoagulation Medication Therapy Adherence Clinic (AC-MTAC) Protocol. 2nd Edition. 2020.
Ministry of Health Malaysia. Clinical Practice Guidelines (CPG) Management of Acute ST Segment Elevation Myocardial Infarction (STEMI). 2019.
Ministry of Health Malaysia. Clinical Practice Guidelines (CPG) Management of Non-ST Elevation Acute Coronary Syndromes (NSTE-ACS). 2021.

ED Aspirin Tool