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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

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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

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 52-year-old man. What is his chief complaint? What is the rhythm disturbance?


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 41-yr-old man with chest discomfort. What is the most likely diagnosis?


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


64-year-old male with chest pain.


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?


What is the ECG diagnosis in this recording with baseline movement?


54-year-old man with rest chest pain


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


70 year old woman with ECG showing which of the following major diagnoses?


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