RT Book, Section A1 Ross, Christopher A2 Sherman, Scott C. A2 Weber, Joseph M. A2 Schindlbeck, Michael A. A2 Rahul G., Patwari SR Print(0) ID 1101223327 T1 Acute Coronary Syndromes T2 Clinical Emergency Medicine YR 2014 FD 2014 PB McGraw-Hill Education PP New York, NY SN 978-0-07-179460-2 LK accessemergencymedicine.mhmedical.com/content.aspx?aid=1101223327 RD 2024/04/19 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.