Chapter 2. Diagnosis of Acute Coronary Syndrome

  1. Eli V. Gelfand Director of Ambulatory Cardiology2 and
  2. Christopher P. Cannon Senior Investigator Associate Professor3,4,5
  1. Eli V. Gelfand Director of Ambulatory Cardiology2 and
  2. Alisa B. Rosen Assistant Professor of Medicine1

Published Online: 9 APR 2009

DOI: 10.1002/9780470745465.ch2

Management of Acute Coronary Syndromes

Management of Acute Coronary Syndromes

How to Cite

Gelfand, E. V. and Rosen, A. B. (2009) Diagnosis of Acute Coronary Syndrome, in Management of Acute Coronary Syndromes (eds E. V. Gelfand and C. P. Cannon), John Wiley & Sons, Ltd, Chichester, UK. doi: 10.1002/9780470745465.ch2

Editor Information

  1. 2

    Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA

  2. 3

    TIMI Study Group, Boston, Massachusetts, USA

  3. 4

    Brigham and Women's Hospital, Boston, Massachusetts, USA

  4. 5

    Harvard Medical School, Boston, Massachusetts, USA

Author Information

  1. 1

    Boston University School of Medicine, Section of Cardiovascular Medicine, Boston Medical Center, Boston, Massachusetts, USA

  2. 2

    Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA

Publication History

  1. Published Online: 9 APR 2009
  2. Published Print: 17 APR 2009

ISBN Information

Print ISBN: 9780470725573

Online ISBN: 9780470745465

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Keywords:

  • acute coronary syndrome diagnosis;
  • chest discomfort - as substernal “tightness”, “heaviness” or “pressure”;
  • chest pain associated with low likelihood of ACS;
  • chest pain and differential diagnosis;
  • cardiovascular examination - irregular rhythm and atrial fibrillation or ventricular ectopy;
  • pathophysiologic basis of ST segment changes during ischemia;
  • causes of ST-segment elevations;
  • electrocardiography in unstable angina and NSTEMI;
  • cardiovascular magnetic resonance (CMR) - gold standard tool for ventricular volumes, mass, and systolic function assessment

Summary

This chapter contains sections titled:

  • Introduction

  • Definition of myocardial infarction

  • History

  • Risk factors

  • Physical examination

  • Electrocardiography

  • Cardiac biomarkers

  • Noninvasive imaging

  • Stress testing for diagnosis of ACS

  • Overall diagnostic pathway for ACS

  • References