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The Curbsiders Internal Medicine Podcast

#450 Acute Coronary Syndrome with Dr. Sanjeev Francis - Part 1

Aug 26, 2024
Dr. Sanjeev Francis, a cardiologist at Maine Medical Center, dives deep into acute coronary syndrome. He discusses the vital role of comprehensive patient assessment, emphasizing unique presentations in women. The conversation highlights advancements in high-sensitivity troponin tests, their implications for diagnosis, and the importance of serial ECGs in atypical cases. With insights on risk stratification tools and non-invasive testing options, this insightful dialogue not only educates but also entertains with personal anecdotes and critical case studies.
01:02:50

Episode guests

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Quick takeaways

  • A thorough history and physical examination are essential for accurately diagnosing acute coronary syndrome and stratifying patient risk.
  • Electrocardiograms play a crucial role in identifying specific changes that indicate the severity of acute coronary syndrome, necessitating repeat tests in unstable patients.

Deep dives

Introduction to Acute Coronary Syndrome

Acute coronary syndrome (ACS) encompasses a range of conditions, including unstable angina and myocardial infarction, that arise from reduced blood flow to the heart. The episode features a discussion emphasizing the significance of obtaining a thorough history and physical examination, which are crucial for diagnosing ACS. Using risk factors such as hypertension, diabetes, and chest discomfort aids clinicians in stratifying the level of risk in patients presenting with these symptoms. Understanding how to effectively communicate patients' presentations and risk factors to cardiology specialists is also vital to ensure prompt and accurate treatment.

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