A computer-implemented method for personalized assessment of patients with acute coronary syndrome (ACS) includes extracting (i) patient-specific coronary geometry data from one or more medical images of a patient (ii) a plurality of features of a patient-specific coronary arterial tree based on the patient-specific coronary geometry data and (iii) a plurality of ACS-related features from additional patient measurement data. A surrogate model is used to predict patient-specific hemodynamic measures of interest related to ACS based on the plurality of features of the patient-specific coronary arterial tree and the plurality of ACS-related features from the additional patient measurement data.