Clinical manifestations of acute coronary syndromes

• Cardiac chest pain (“angina”):
  • retrosternal pressure/pain/tightness ± radiation to neck, jaw, arms.
  • Precipitated by exertion (physical or emotional), ↓ w/ rest or NTG.
  • In ACS: new-onset, crescendo or at rest.
• Associated symptoms:
  • dyspnea,
  • diaphoresis,
  • N/V,
  • palpitations or light-headedness
• Nonclassic sx (incl N/V & epig pain) ? more common in
  • ♀
  • elderly
  • diabetes
  • inf. ischemia