Sponsored by the Council of Residency Directors in Emergency Medicine
Acute Coronary Syndromes
Resources to Review Prior to Conference
Goals and Objectives
Goals
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Trainee will demonstrate competence in the initial evaluation and basic management of patients with acute coronary syndromes (ACS)
Objectives
Trainee will be able to:
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Define:
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Acute coronary syndrome (ACS)
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Acute coronary occlusion (ACO)
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Myocardial infarction (MI)
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Type 1 myocardial infarction (MI)​
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Type 2 myocardial infarction (MI)
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Occlusive myocardial infarction (OMI)
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List and describe diagnoses that comprise acute coronary syndromes
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Describe historical features suggestive of ACS
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Describe the EKG and laboratory findings in ACS
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Describe initial medical management indicated for patients with ACS
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Describe typical ED course and disposition of patients with ACS
Additional Resources
General ACS Content
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Acute Coronary Syndromes (CDEM 2019)​
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Acute Coronary Syndromes (HQMedEd 2016)
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Who Needs PCI? (EMCrit / Steve Smith’s ECG Blog 2015) (pdf)
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Management of Antithrombotic Therapy After ACS (NEJM 2021)
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The Rational Clinical Examination: Does this patient with chest pain have acute coronary syndrome? (JAMA 2015)
Consensus Statements
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Non-ST-Elevation ACS (ACEP Clinical Policy 2018) (pdf)
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Reperfusion Therapy in Patients with AMI (ACEP Clinical Policy 2017) (pdf)
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Non-ST-Elevation ACS (Circulation 2014) (pdf)
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Universal Definition of MI (Circulation 2012) (pdf)
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STEMI
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2013 ACCF/AHA STEMI Guidelines (JACC 2013) (pdf)
Non-STE ACS (UA and NSTEMI)
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Non-ST-Elevation ACS (ACEP Clinical Policy 2018) (pdf)
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Non-ST-Elevation ACS (Circulation 2014) (pdf)
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ECG Diagnosis of MI
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See: ECG Interpretation (EMFundamentals)​
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Risk Scores and Clinical Pathways
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The HEART Pathway (Cir Cardiovasc Qual Outcomes 2015) (pdf)
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Acute Coronary Syndrome Pathway (EM:RAP)