Goals

• Trainee will demonstrate competence in the initial evaluation and basic management of patients with acute coronary syndromes (ACS)

Objectives

Trainee will be able to:

• Define “acute coronary syndrome”

• List and describe diagnoses that comprise acute coronary syndromes

• Describe historical features suggestive of ACS

• Describe the EKG and laboratory findings in ACS

• Describe initial medical management indicated for patients with ACS

• Describe typical ED course and disposition of patients with ACS

General ACS Content

• Acute Coronary Syndromes (CDEM 2019)​

• Acute Coronary Syndromes (HQMedEd 2016)

• Who Needs PCI? (EMCrit / Steve Smith’s ECG Blog 2015) (pdf)

• The Rational Clinical Examination: Does this patient with chest pain have acute coronary syndrome? (JAMA 2015)

Consensus Statements

• Non-ST-Elevation ACS (ACEP Clinical Policy 2018) (pdf)

• Reperfusion Therapy in Patients with AMI (ACEP Clinical Policy 2017) (pdf)

• Universal Definition of MI (Circulation 2012) (pdf)

​

STEMI

• 2013 ACCF/AHA STEMI Guidelines (JACC 2013) (pdf)

Non-STE ACS (UA and NSTEMI)

• Non-STE ACS (ACEP Clinical Policy 2018) (pdf)

​

ECG Diagnosis of MI

• See: ECG Interpretation (EMFundamentals)​

​

Risk Scores and Clinical Pathways

• The HEART Pathway (Cir Cardiovasc Qual Outcomes 2015) (pdf)