Identifying Urgent Care Patients With Chest Pain Who Are at Low Risk for Acute Coronary Syndromes | Points & Pearls
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Identifying Urgent Care Patients With Chest Pain Who Are at Low Risk for Acute Coronary Syndromes

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Points & Pearls Excerpt

  • History cannot reliably rule in or rule out ACS.
  • Features that indicate a higher likelihood of ACS include pain radiating to both arms or shoulders, pain similar to prior ischemia, exertional pain, pain associated with diaphoresis, and a change in pain pattern over the past 24 hours.
  • Features that indicate a lower likelihood of ACS include pain described as pleuritic, positional, reproducible with palpation, sharp/stabbing, or nonexertional.
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Publication Information
Editor in Chief & Update Author

Keith Pochick, MD, FACEP
Editor-in-Chief; Attending Physician, Urgent Care
Lorilea Johnson, FNP-BC, DNP
Update Author; Veterans Affairs Clinics of Cape Girardeau

Urgent Care Peer Reviewer

Huai Lee Phen, MD
Diane Sixsmith, MD, MPH

Charting Commentator

James B. Haering, DO, SFHM, CHCQM

Publication Date

November 1, 2022

CME Expiration Date

November 1, 2025

CME Credits

4 AMA PRA Category 1 Credits™.

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CME Information

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