Ragavendra
R. Baliga, M.D
Assistant
Professor
Division
of Cardiology
University
Of Michigan
It is important that medical students, interns, residents and cardiology fellows are able to critically determine appropriate diagnostic procedures and therapies in the management or prevention of acute coronary syndromes.
This website has been created to assist medical practitioners in clinical decision making and therapeutics based on the recent ACC/AHA Guidelines put together by acknowledged experts in cardiology. This website attempts to define practices that meets the needs of most patients in most circumstances. However, it must be remembered that the ultimate judgment regarding the care of a particular patient must be made by the physician in light of all circumstances presented by that patient.
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39 questions |
JF is a 42-year old previously healthy farmer who presented with sudden onset central chest pain of one hour duration to the ED. The pain is associated with sweating and radiates to the left arm and jaw. The area of discomfort is about the size of the fist. |
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17 Questions |
63-year old woman presented with central chest pain of two hours duration. On examination her blood pressure was 90/60 mm Hg, she had a weak pulse, distended neck veins with elevated jugular venous pressure, normal first and second heart sounds and lung fields were clear on auscultation. |
Acknowledgment: This website uses text verbatim from the ACC/AHA Guidelines on Acute Coronary Syndromes: Acute Myocardial Infarction (Ryan TJ, Antman EM, Brooks NH, Califf RM, Hillis LD, Hiratzka LF, Rapaport E, Riegel B, Russell RO, Smith EE III, Weaver WD. ACC/AHA guidelines for the management of patients with acute myocardial infarction: 1999 update: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee on Management of Acute Myocardial Infarction). Available at www.acc.org ) and Unstable Angina (Braunwald E, Antman EM, Beasley JW, Califf RM, Cheitlin MD, Hochman JS, Jones RH, Kereiakes D, Kupersmith J, Levin TN, Pepine CJ, Schaeffer JW, Smith EE III, Steward DE, Theroux P. ACC/AHA Guidelines for the Management of Patients with Unstable Angina and Non—ST-segment Elevation Myocardial Infarction: A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee on the Management of Patients With Unstable Angina). J Am Coll Cardiol 2000;36:970—1062) with permission from the American College of Cardiology
Office of Medical Education University of Michigan Medical School
Copyright 2001 by the University of Michigan Board of Regents. All rights reserved.