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ACSx presentation and management. A.Abdi,M.D. Initial Diagnosis. Symptoms ECG Cardiac Biomarkers. CHARACTERISTICS OF TYPICAL ANGINAL CHEST PAIN (ADAPTED FROM ROSEN’S, EMERGENCY MEDICINE). Assessing Likelihood of ACS. Cardiac Biomarkers. Risk Stratification. Based on initial

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Acsx presentation and management

ACSx presentation and management

A.Abdi,M.D


Initial diagnosis
Initial Diagnosis

  • Symptoms

  • ECG

  • Cardiac Biomarkers



Assessing likelihood of acs
Assessing Likelihood of ACS ROSEN’S, EMERGENCY MEDICINE)


Cardiac biomarkers
Cardiac Biomarkers ROSEN’S, EMERGENCY MEDICINE)


Risk stratification
Risk Stratification ROSEN’S, EMERGENCY MEDICINE)

Based on initial

Evaluation, ECG, and

Cardiac markers

STEMI

Patient?

UA or NSTEMI

- Evaluate for Invasive vs. conservative treatment

- Directed medical therapy

YES

NO

- Assess for reperfusion

- Select & implement reperfusion therapy

- Directed medical therapy


51-year-old male with bicuspid aortic valve, aortic insufficiency and hypertension who had an episode of chest pain 2 days prior to this tracing.


The patient is an elderly female with a known history of left bundle branch block who presented to the emergency ward with shortness of breath



A 43-year-old man diagnosed with lateral subendocardial ischemia based on ST depressions in aVL. Do you agree?


A 47 yr old man with double trouble
A 47-yr-old man with double trouble ischemia based on ST depressions in aVL. Do you agree?



Subtle syncopation 54 year old morbidly obese male with an acute inferior mi what is the rhythm
Subtle syncopation. 54-year-old morbidly obese male with an acute inferior MI. What is the rhythm?


64 year old male with chest pain
64-year-old male with chest pain. acute inferior MI. What is the rhythm?


89-year-old man with a history of severe congestive heart failure. What is the rhythm? What is the possible significance of rsR' in V6?




Middle-aged man with chest pain after a motor vehicle accident with blunt trauma to the chest. The ECG is diagnostic of which condition



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