2025 Clinical Guidelines for the Management of Acute Coronary Syndromes: Key Highlights

Emergency Cardiology Literature Review & Updates with Dr. Amal Mattu

HPI

A 90-year-old woman presents to the emergency department with acute chest pain, nausea, and shortness of breath. She has two negative troponins 6 hours apart. The following ECG was obtained on arrival and the ST segment abnormalities are noted to be new when compared to prior ECGs:

Before watching this week’s workout, consider the following:

    1. Do negative troponins rule out acute coronary syndromes (ACS)?
    2. How often do patients with STEMI have nondiagnostic initial ECGs?
    3. When is urgent cath indicated for patients with non-ST elevation ACS?