Chest Pain in the Emergency Department: Identifying Acute Coronary Syndrome

Credit

Speaker

Kimberly Sapre, DMSc, PA-C, CAQ-EM, DFAAPA Related seminars and products

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Kimberly Sapre, DMSc, PA-C, CAQ-EM, DFAAPA, has over a decade of work experience as an emergency medicine PA and a Certificate of Added Qualifications in Emergency Medicine. She has previous clinical experience in neurosurgery and quality improvement. Dr. Sapre holds a Doctor of Medical Science degree in education and works as an Adjunct Assistant Professor in the Shenandoah University Doctor of Medical Science program.

 

Speaker Disclosures:
Financial: Kimberly Sapre has employment relationships with Shenandoah University, George Washington University, Milliman IntelliScript, and Inova Fairfax Medical Campus. She receives a speaking honorarium from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Kimberly Sapre is a member of the American Academy of PAs, the Virginia Academy of PAs, the Virginia Association of Minority PAs, the Medical Society of Virginia, and the Society of Emergency Medicine PA.

 

 

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Objectives

1. Recognize the key clinical features and diagnostic findings associated with acute coronary syndrome (ACS) in the emergency department.
2. Devise appropriate emergency department treatment plan for ACS.
3. Differentiate between the presentation and management of ACS and other common causes of chest pain in the emergency department.
4. Facilitate appropriate disposition for patients treated for chest pain in the emergency department.

Outline

Background

• Modifiable
• Nonmodifiable Risk Factors
• Pathophysiology

Common Signs and Symptoms

Differential Diagnosis

Diagnostic Testing

• Electrocardiogram
• Echocardiogram
• CT angiography
• Laboratory Studies

Risk Stratification Tools

• HEART Score 
• TIMI Score
• GRACE Score

ACS

• NSTEMI vs STEMI
• Post-MI Complications
• Other

Case presentations

• Case #1: NSTEMI
• Case #2: Pulmonary embolism c
• Case #3: Aortic dissection

Pitfalls

Take Home Points

Target Audience

• Nurse practitioners
• Physician Assistants
• Physicians
• Nurses
• Other Clinicians