CanadiEM Podcasts: CRACKCast, ClerkCast, CarmsCast, First Year Diaries CRACKCast E078 - ACS
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May 16, 2017 Dive into the world of Acute Coronary Syndromes with a focus on defining stable and unstable angina, as well as myocardial infarctions. Discover the critical pathophysiology of AMI and essential pre-hospital management strategies. Learn about population risk factors and their implications, while addressing the nuances of atypical presentations. The discussion includes early complications of myocardial infarction and how to manage them. Plus, uncover key ECG changes that could be lifesaving in emergency situations.
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Describing Angina Accurately
- Use descriptive words like discomfort, pressure, and ache instead of just pain when assessing angina.
- Always consider new or worsening symptoms as unstable angina and investigate accordingly.
Risk Factors vs Individual Diagnosis
- Population risk factors do not reliably predict acute coronary syndrome in the individual patient.
- Clinical evaluation, ECG findings, and biomarkers are paramount for diagnosis.
Recognizing Atypical ACS Presentations
- Consider women, elderly, diabetics, and dementia patients as at risk for atypical ACS presentations.
- Avoid delay in diagnosis since atypical symptoms worsen outcomes.
