ppt课件-accahaguidelinesforthemanagementofpatientswith.pptVIP

Acute Coronary Syndromes Jason Ryan, M.D. Acute Coronary Syndromes Acute Coronary Syndromes Generally, same symptoms for all Squeezing, pressure-like, substernal chest pain Often associated with shortness of breath and diaphoresis Pearl: If nausea and vomitting think inferior wall MI With UA/NSTEMI, often preceding history of exertional symptoms Remember the DDx for Chest Pain ACS Aortic Dissection Pulmonary Embolism Acute choleycystitis Pericarditis Costocondritis Esophogeal spasm Many others ST-Elevation MI ST-Elevation MI ST-Elevation MI ST-Elevation MI ST-Elevation MI If you suspect STEM