Block 4

Question 1

Acute coronary syndrome- High risk

Answer 1

• Chest or L arm pain reproducing prior documented angina
• CAD, including MI
• Murmur, hypotension, diaphoresis, pulm edema, rales
• New ST deviation or T wave inversion
• Elevated cardiac markers

Question 2

Acute coronary syndrome- Med risk

Answer 2

• Chest or L arm pain
• Age > 70
• Male
• DM
• Extracardiac vascular disease
• Fixed Q waves
• ST depression

Question 3

Acute coronary syndrome- Low risk

Answer 3

• Probable ischemic symptoms
• Cocaine use
• Chest discomfort on palpation
• Normal ECG

Question 4

Signs & sx of ACS

Answer 4

• Pressure, squeezing pain in chest
• spreads to shoulders, neck, jaw
• Spreads to back or shoulder blades
• Lt headed, dizzy, faint, sweating, N/V
• Unexplained SOB