Literature Review: 2014 AHA/ACC Guideline for the Management of Patients with Non-ST-Elevation Acute Coronary Syndromes (Class IA recommendations)

Emergency Cardiology Literature Review & Updates with Dr. Amal Mattu


A 70-year-old woman with PMHx of HTN and DM, presents to the ED with retrosternal chest pain that radiates to her left arm. The following ECG is obtained:

Before watching this week’s video, ask yourself these questions:

  1. What ECG abnormalities do you notice?
  2. What signs of cardiac ischemia are present?
  3. What is the next step in management for patients with suspicion for ACS and non-diagnostic ECGs who have refractory angina despite maximal medical management?