OVERVIEW

Emergency Department Management of Non–ST-Segment Elevation Myocardial Infarction is organized by EB Medicine.

Publication Date: Jan 01, 2020
CME Expiration Date: February 1, 2023

Description:
Up to 25% of patients who present to the ED with chest pain are diagnosed with acute coronary syndromes (ACS). For the emergency clinician, it is critical to make the correct diagnosis, fast: STEMI, NSTEMI, unstable angina (or is it pulmonary embolism or just heartburn?).
• What are the ECG criteria that differentiate STEMI and NSTEMI?
• What are the different causes of STEMI and NSTEMI? Type 1 MI versus type 2?
• Besides chest pain, what is the likelihood that other symptoms, such as nausea, dyspnea, and diaphoresis, are pointing to MI? Are these related to age, ethnicity, and sex?
• What is the sensitivity of serial ECGs in detecting an occluding lesion?
• How have the modified Sgarbossa criteria increased sensitivity for identifying MI?
• What is the latest evidence on the value of high-sensitivity troponin assays?
• Risk stratification scores: HEART, GRACE, TIMI: Which is best for the ED?
• Is there new evidence on treatment strategies – analgesia, antiplatelets, anticoagulation?
• What is the best ED management when you don’t know whether the patient’s further treatment strategy is going to be early-invasive or ischemia-guided?

Additional details will be posted as soon as information is available.