Acute Coronary Syndrome (ACS) is a major cardiovascular problem because it increases mortality and morbidity. ACS is the acute manifestation of coronary arteries atheromatous plaque torn or ruptured. ECG had been developed to enhance the clinical benefits. Selvester score is one of the assessment method in the ECG that aims to detect and determine the location of damage due to myocardial infarction, judging from the complex of QRS. In some studies it has been reported that Selvester score correlated with the extent of damage after myocardial infarction. By using a specific scoring criteria, with the total number of points earned, Selvester scores are considered a non-invasive tool to assess myocardial damage that is easy to use and provides precise results by using ECG especially in areas with limited diagnostic tools.