Acute Coronary Syndrome
Acute Coronary Syndrome
Acute Coronary Syndrome
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Initial Chest Pain<br />
Evaluation<br />
Symptoms Suggestive of ACS<br />
Possible ACS<br />
Definite ACS<br />
(–) ECG;<br />
Normal biomarkers<br />
Observe; repeat ECG,<br />
markers at 4-8 hrs<br />
No ST <br />
ST-T ’s,<br />
chest pain,<br />
markers<br />
ST <br />
Use MI<br />
Guidelines<br />
No recurrent pain;<br />
(–) follow-up studies<br />
Recurrent pain;<br />
(+) follow-up studies<br />
Stress test; LV<br />
function if ischemia<br />
(–) test: outpt follow-up<br />
(+) test<br />
Admit, Use <strong>Acute</strong><br />
Ischemia Pathway
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