On this month’s episode, we discuss acute coronary syndrome (ACS) with Dr. Jesse McLaren

We define ACS, we cover pathophysiology, and some common causes. Importantly we discuss the assessment of this patient population – paying attending to both objective and subjectives signs and symptoms. We spend some time talking about electrocardiograms, and perhaps most importantly, we chat about the management of this patient. 

Sponsored by: 

Dr Jesse McLaren

Dr. Jesse McLaren (@ECGcases), is an Emergency Physician in Toronto with a special interest in emergency cardiology quality improvement and education. He is an Assistant Professor at the University of Toronto. 

He has a Monthly blog ECG Cases (@ECGcases) for the famous EMCases podcast (@EMCases), he’s the associate editor of Dr. Smith’s ECG Blog (@smithECGBlog), and he’s Launching ECG interpretation course at heartsECGcourse.com.

General Resources

–       http://hqmeded-ecg.blogspot.com

–       https://emergencymedicinecases.com/blogs/ecg-cases/

–       https://twitter.com/EMCases

–       heartsECGcourse.com

Resources Covered in the Episodes

–       TIMI Risk Score for UA/NSTEMI

o   https://www.mdcalc.com/calc/111/timi-risk-score-ua-nstemi

–       HEART Score for Major Cardiac Events

o   https://www.mdcalc.com/calc/1752/heart-score-major-cardiac-events

Does This Patient With Chest Pain Have Acute Coronary Syndrome? The Rational Clinical Examination Systematic Review. JAMA. 2015;314(18):1955–1965. doi:10.1001/jama.2015.12735 

o  https://jamanetwork.com/journals/jama/article-abstract/2468896

–       ECG Cases 32 Prehospital ECG pearls and pitfalls

o  http://emergencymedicinecases.com/prehospital-ecg-pearls-pitfalls/

–       ECG Cases 29 Misdiagnosis from Lead Misplacement, Artifact and Lead Reversal

o    https://emergencymedicinecases.com/ecg-cases-lead-misplacement-artifact-lead-reversal/

–       2022 ACC Expert Consensus Decision Pathway on the Evaluation and Disposition of Acute Chest Pain in the Emergency Department: A Report of the American College of Cardiology Solution Set Oversight Committee

o   https://www.jacc.org/doi/10.1016/j.jacc.2022.08.750