acute coronary syndrome
CC1
| Headline | |
|---|---|
| Etiology | |
| Epidemiology | |
| Clinical presentation | Ddx: |
| Pathogenesis | |
| Diagnostic investigations | - STEMI = ST ↑ >2mm in ant leads or >1mm in 2 consec inf leads; pathological Q waves, LBBB. See OMI - Echo, troponin (long t½, can persist for ~1/52), HbA1c, cholesterol |
| Management | Complications: |
| Prevention |
role of history
| History | Likelihood Ratio |
|---|---|
| Increased likelihood | |
| Radiation to right arm/shoulder | 4.7 |
| Radiation to both arm/shoulder | 4.1 |
| Associated with exertion | 2.4 |
| Radiation to left arm | 2.3 |
| Associated with diaphoresis | 2 |
| Associated with nausea/vomiting | 1.9 |
| Worse than previous angina | 1.8 |
| Described as pressure | 1.3 |