A regular day as an ER physician is incomplete without getting called for a patient with “chest pain.” It is like working as a construction worker without having used any cement all day! Cardiovascular health is one of the most important areas of medical science. The supply of oxygen and nutrients via the circulation of blood throughout the body is crucial for the maintenance of overall physical health. The main organ in this complex system is the heart, a muscular entity sitting in the center of the chest protected by the thoracic cavity. chest pain is a phenomenon often associated with Acute Coronary Syndrome (ACS), a condition that is becoming increasingly common in the world. This ailment stems from an abnormality known as atherosclerosis, which is denoted as a hardening and narrowing of arteries (especially the coronary arteries supplying the heart muscle), resulting in blockages and occasionally complete obstructions of blood flow. This fatal manifestation of ACS is known as Myocardial Infarction Considering the increasing incidence of ACS in the general population, it is crucial for medical professionals to be aware of signs and symptoms along with routes of approach for such patients in order to ensure their most likely survival. Here is a schematic that could serve as a guide for the novice cardiovascular enthusiast as well as the experienced cardiologist in order to determine the course of management progression for a patient with chest pain: Source