Admit direct to cath lab
If not at tertiary care center consider tPA depending transfer time and transfer to cardiac cath lab center
ST-segment elevation myocardial infarction
Cardiac
Non-ST-elevation myocardial infarction
ST-segment elevation myocardial infarction 
Unstable angina
Post-MI 
Acute coronary syndrome 
Previous MI with recurrent ischemia in same area