TY - CHAP M1 - Book, Section TI - Acute Coronary Syndromes A1 - Ross, Christopher A2 - Sherman, Scott C. A2 - Weber, Joseph M. A2 - Schindlbeck, Michael A. A2 - Rahul G., Patwari PY - 2014 T2 - Clinical Emergency Medicine AB - Consider acute coronary syndrome (ACS) in the initial assessment of all patients presenting with chest pain and/or difficulty breathing.Atypical presentations are common, especially in women, the elderly, and diabetics.Obtain an emergent electrocardiogram in all patients with concern for ACS to rapidly identify ST-segment elevation myocardial infarctions (STEMI).Patients with STEMI require immediate reperfusion therapy with either thrombolytics or percutaneous coronary intervention to salvage the maximum amount of viable myocardium. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/18 UR - accessemergencymedicine.mhmedical.com/content.aspx?aid=1101223327 ER -