Acute Coronary Syndrome

Acute Coronary Syndrome is “bread and butter” emergency medicine - Daniel Kreider MD

Acute Coronary Syndrome

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Does Observation for ACS Makes Sense? Part 1: A History of Observation for Chest Pain

Accurate and expeditious diagnosis of acute myocardial infarction or acute coronary syndrome (ACS) is one of the key charges of emergency medicine providers. Chest pain is the second most common reason for emergency department visits in the United States and coronary artery disease is our leading cause of death.

Up until the late 1980s, most patients presenting to the emergency department (ED) with chest pain were simply admitted to a coronary care unit (CCU). Some of these patients had acute myocardial infarction (MI) and were treated accordingly. However, the majority were low risk patients admitted simply to monitor for the development of acute MI with serial ECGs and cardiac enzyme…

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Last Updated : Thursday, June 17, 2021