Imbalance in myocardial blood supply and oxygen requirement
Acute coronary syndrome (ACS) encompasses a spectrum of disease processes:
Unstable angina pectoris
Acute myocardial infarcti...
Chest pain:
Most common presentation of MI
Substernal pressure
Heaviness
Squeezing
Burning sensation
Tightness
Anginal equivalents (MI without chest pain):
Abdominal pain
Syncope
Dia...
IV access
Aspirin
Oxygen
Cardiac monitoring
Sublingual nitroglycerin for symptom relief
12-lead ECG, if possible, with transmission or results relayed to receiving hospital
Patients with an AMI require hospital admission.
If the diagnosis is unclear, admission to the hospital or an ED observation unit may be useful for serial cardiac...
Goal of thrombolytic therapy is a 30 min door to needle time if PCI not possible.
New or presumably new LBBB at presentation occurs infrequently, and should not be considered diagno...
Filippo C, Giovanna L. Pathogenesis of acute coronary syndromes. J Am Coll Cardiol. 2013;61:1–11.
Hartman SM, Barros AJ, Brady WJ. The use of a 4-step algorithm in the ele...
410.90 Acute myocardial infarction, unspecified site, episode of care unspecified
410.91 Acute myocardial infarction of unspecified site, initial episode of care
410.92 Acute myocardial infarc...
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