Author: Dr Matthew Jackson

Acute Coronary Syndrome (ACS)

Chest pain is one of the commonest presenting complaints encountered and the diagnosis of an ‘acute coronary syndrome’ is frequently suspected. ACS encompasses a variety of diagnoses and we will examine each one in detail. They can be divided into: Unstable Angina Non-ST elevation myocardial infarction ST elevation myocardial infarction What is a myocardial infarction? Let’s first look at what we define as a ‘Myocardial infarction’.  The ESC handily created a lengthy document entitled ‘Third Universal Definition of Myocardial Infarction‘.   Here’s how they define a myocardial infarction Detection of a rise and/or fall in cardiac biomarker values (preferably troponin) with at...

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