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Physical exam of acute coronary syndromes

  • Signs of ischemia:
    • S4
    • new MR murmur 2° pap. muscle dysfxn
    • paradoxical S2
    • diaphoresis
  • Signs of HF (eg, if large MI or ischemic MR):
    • ↑ JVP
    • crackles, ⊕ S3
    • HoTN
    • cool extremities
  • Signs of other vascular disease:
    • asymmetric BP
    • carotid or femoral bruits
    • ↓ distal pulses