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Acute Coronary Syndromes (ACS): ECG & Risk Patients

by Julianna Jung, MD, FACEP
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      Emergency Medicine Coronary Syndromes.pdf
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    About the Lecture

    The lecture Acute Coronary Syndromes (ACS): ECG & Risk Patients by Julianna Jung, MD, FACEP is from the course Cardiovascular Emergencies and Shock. It contains the following chapters:

    • Examination
    • Moderate Risk Patients

    Included Quiz Questions

    1. ACS presentation may be highly variable
    2. Classic presentation of ACS is more common in elderly patients
    3. Classic presentation of ACS is much more specific in women
    4. Unexplained arm/jaw pain without chest pain rules out ACS
    5. Epigastric pain or indigestion cannot be a symptom of ACS
    1. Do a serial ECG if initial ECG is normal
    2. Send the patient to cath lab right away
    3. Initiate CPR
    4. Dismiss diagnosis of ACS if ECG is normal
    5. Look for another differential
    1. Positive family history of ACS > 65 years of age
    2. Hypertension
    3. Diabetes
    4. Smoking
    5. Hypercholesterolemia
    1. Observation for any progression
    2. Discharge the patient
    3. Admit the patient immediately
    4. Consider early coronary angiography for the patient
    5. Initiate aggressive medical management for the patient
    1. It is suitable for high-risk patients
    2. It includes stress testing and stress echocardiography
    3. About 80–85% sensitive in moderate risk patients
    4. Can rule out CAD in low to moderate risk patients
    5. Coronary CT angiography is an example

    Author of lecture Acute Coronary Syndromes (ACS): ECG & Risk Patients

     Julianna Jung, MD, FACEP

    Julianna Jung, MD, FACEP


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