ABSTRACT

Clues: angina, N&V, sweating, LVF (see p. 241), arrhythmias, Hx of IHD. Remember atypical pain and silent infarcts in DM, elderly or if ↓GCS. ACS encompasses the following:

1 STEMI: ST elevation myocardial infarction (see p. 214). 2 NSTEMI: Non-ST elevation MI; troponin (T or I) +ve. 3 UA(P): Unstable angina (pectoris); troponin (T or I) −ve.