Emergency Department Management of Non–ST-Segment Elevation Myocardial Infarction | Digest
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Emergency Department Management of Non–ST-Segment Elevation Myocardial Infarction

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Points and Pearls Excerpt

  • Approximately 2% of patients presenting to an ED with acute coronary syndromes (ACS) are misdiagnosed and subsequently discharged.
  • Misdiagnosis is more common among women aged < 55 years, and all patients of nonwhite ethnicity, patients with the presenting complaint of dyspnea, and patients with normal or nondiagnostic ECGs.
  • Failure to hospitalize patients with ACS nearly doubles their mortality risk.
  • The 1-year case fatality rate for patients with NSTEMI (non–ST-segment elevation myocardial infarction) is ≈ 25%, more than double that of STEMI.
  • The American Heart Association and American College of Cardiology (AHA/ACC) guidelines on NSTEMI have been criticized due to potential conflicts of interest with the pharmaceutical industry.

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Publication Information
Authors

Julianna Jung, MD, MEd, FACEP; Sharon Bord, MD, FACEP

Peer Reviewed By

Michael Gottlieb, MD; Bradley Shy, MD

Publication Date

January 1, 2020

CME Expiration Date

January 1, 2023

CME Credits

4 AMA PRA Category 1 Credits™, 4 ACEP Category I Credits, 4 AAFP Prescribed Credits, 4 AOA Category 2-A or 2-B Credits.

Pub Med ID: 31855327

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CME Information

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