Template:Clinical features ACS - Revision history

Masoodrm: /* Risk of ACS */

2025-12-10T18:21:12Z

Risk of ACS

← Revisión anterior		Revisión del 18:21 10 dic 2025
Línea 1:		Línea 1:
	===Risk of [[~~ACS~~]]===		===Risk of [[Acute Coronary Syndrome]]===
	Clinical factors that '''increase''' likelihood of ACS/AMI:<ref>Body R, Carley S, Wibberley C, et al. The value of symptoms and signs in the emergent diagnosis of acute coronary syndromes. Resuscitation. 2010;81(3):281–286. PMID: 20036454</ref><ref>Panju AA, Hemmelgarn BR, Guyatt GH, et al. The rational clinical examination. Is this patient having a myocardial infarction? JAMA. 1998;280(14):1256–1263. PMID: 9786377</ref>		Clinical factors that '''increase''' likelihood of ACS/AMI:<ref>Body R, Carley S, Wibberley C, et al. The value of symptoms and signs in the emergent diagnosis of acute coronary syndromes. Resuscitation. 2010;81(3):281–286. PMID: 20036454</ref><ref>Panju AA, Hemmelgarn BR, Guyatt GH, et al. The rational clinical examination. Is this patient having a myocardial infarction? JAMA. 1998;280(14):1256–1263. PMID: 9786377</ref>
	*[[Chest pain]] radiating to both arms > R arm > L arm		*Chest pain radiating to both arms > R arm > L arm
	*[[Chest pain]] associated with diaphoresis		*Chest pain associated with diaphoresis
	*[[Chest pain]] associated with nausea OR vomiting		*Chest pain associated with nausea OR vomiting
	*[[Chest pain]] with exertion that is improved with rest		*Chest pain with exertion that is improved with rest

	Clinical factors that '''decrease''' likelihood of ACS/AMI:<ref>Swap CJ, Nagurney JT. Value and limitations of chest pain history in the evaluation of patients with suspected acute coronary syndromes. JAMA. 2005;294(20):2623–2629. PMID: 16304077</ref>		Clinical factors that '''decrease''' likelihood of ACS/AMI:<ref>Swap CJ, Nagurney JT. Value and limitations of chest pain history in the evaluation of patients with suspected acute coronary syndromes. JAMA. 2005;294(20):2623–2629. PMID: 16304077</ref>

Masoodrm: /* Risk of ACS */

2025-12-10T18:20:20Z

Risk of ACS

← Revisión anterior		Revisión del 18:20 10 dic 2025
Línea 3:		Línea 3:
	*[[Chest pain]] radiating to both arms > R arm > L arm		*[[Chest pain]] radiating to both arms > R arm > L arm
	*[[Chest pain]] associated with diaphoresis		*[[Chest pain]] associated with diaphoresis
	*[[Chest pain]] associated with [[nausea/vomiting]]		*[[Chest pain]] associated with nausea OR vomiting
	*[[Chest pain]] with exertion		*[[Chest pain]] with exertion that is improved with rest

	Clinical factors that '''decrease''' likelihood of ACS/AMI:<ref>Swap CJ, Nagurney JT. Value and limitations of chest pain history in the evaluation of patients with suspected acute coronary syndromes. JAMA. 2005;294(20):2623–2629. PMID: 16304077</ref>		Clinical factors that '''decrease''' likelihood of ACS/AMI:<ref>Swap CJ, Nagurney JT. Value and limitations of chest pain history in the evaluation of patients with suspected acute coronary syndromes. JAMA. 2005;294(20):2623–2629. PMID: 16304077</ref>

EsTxDr: /* Risk of ACS */

2019-07-27T17:20:02Z

Risk of ACS

← Revisión anterior		Revisión del 17:20 27 jul 2019
Línea 1:		Línea 1:
	===Risk of [[ACS]]===		===Risk of [[ACS]]===
	Clinical factors that '''increase''' likelihood of ACS/AMI:<ref>Body R, Carley S, Wibberley C, et al. The value of symptoms and signs in the emergent diagnosis of acute coronary syndromes. Resuscitation. 2010;81(3):281–286. PMID: 20036454</ref><ref>Panju AA, Hemmelgarn BR, Guyatt GH, et al. The rational clinical examination. Is this patient having a myocardial infarction? JAMA. 1998;280(14):1256–1263. PMID: 9786377</ref>		Clinical factors that '''increase''' likelihood of ACS/AMI:<ref>Body R, Carley S, Wibberley C, et al. The value of symptoms and signs in the emergent diagnosis of acute coronary syndromes. Resuscitation. 2010;81(3):281–286. PMID: 20036454</ref><ref>Panju AA, Hemmelgarn BR, Guyatt GH, et al. The rational clinical examination. Is this patient having a myocardial infarction? JAMA. 1998;280(14):1256–1263. PMID: 9786377</ref>
	*[[Chest pain]] radiating both arms > R arm > L arm		*[[Chest pain]] radiating to both arms > R arm > L arm
	*[[Chest pain]] associated with diaphoresis		*[[Chest pain]] associated with diaphoresis
	*[[Chest pain]] associated with [[nausea/vomiting]]		*[[Chest pain]] associated with [[nausea/vomiting]]

Rossdonaldson1: /* Risk of ACS */

2019-04-06T13:59:34Z

Risk of ACS

← Revisión anterior		Revisión del 13:59 6 abr 2019
Línea 17:		Línea 17:
	**Less likely to undergo cardiac catheterization<ref name=“Mehta 2016”> Mehta LS, et al. Acute myocardial infarction in women: A scientific statement from the American Heart Association. Circulation. 2016; 133:916-947.</ref>		**Less likely to undergo cardiac catheterization<ref name=“Mehta 2016”> Mehta LS, et al. Acute myocardial infarction in women: A scientific statement from the American Heart Association. Circulation. 2016; 133:916-947.</ref>
	**Less likely to receive timely reperfusion therapy<ref name=“Mehta 2016”> Mehta LS, et al. Acute myocardial infarction in women: A scientific statement from the American Heart Association. Circulation. 2016; 133:916-947.</ref>		**Less likely to receive timely reperfusion therapy<ref name=“Mehta 2016”> Mehta LS, et al. Acute myocardial infarction in women: A scientific statement from the American Heart Association. Circulation. 2016; 133:916-947.</ref>
	**More likely to report fatigue, dyspnea, indigestion, nausea or vomiting, palpitations, or weakness<ref>Mehta LS, et al. Acute myocardial infarction in women: A scientific statement from the American Heart Association. Circulation. 2016; 133:916-947.</ref>, although some studies have found fewer differences in presentation<ref>Gimenez MR, et al. Sex-specific chest pain characteristics in the early diagnosis of acute myocardial infarction. JAMA Intern Med. 2014; 174(2):241-249.</ref>		**More likely to report fatigue, dyspnea, indigestion, nausea or vomiting, palpitations, or weakness,<ref name=“Mehta 2016”> Mehta LS, et al. Acute myocardial infarction in women: A scientific statement from the American Heart Association. Circulation. 2016; 133:916-947.</ref> although some studies have found fewer differences in presentation<ref>Gimenez MR, et al. Sex-specific chest pain characteristics in the early diagnosis of acute myocardial infarction. JAMA Intern Med. 2014; 174(2):241-249.</ref>
	*More likely to delay presentation<ref name=“Mehta 2016”> Mehta LS, et al. Acute myocardial infarction in women: A scientific statement from the American Heart Association. Circulation. 2016; 133:916-947.</ref>		*More likely to delay presentation<ref name=“Mehta 2016”> Mehta LS, et al. Acute myocardial infarction in women: A scientific statement from the American Heart Association. Circulation. 2016; 133:916-947.</ref>
	*Men with ACS:		*Men with ACS:

Rossdonaldson1 at 13:58, 6 April 2019

2019-04-06T13:58:29Z

← Revisión anterior		Revisión del 13:58 6 abr 2019
Línea 14:		Línea 14:
	Gender differences in ACS		Gender differences in ACS
	*Women with ACS:		*Women with ACS:
	**Less likely to be treated with guideline-directed medical therapies<ref> Mehta LS, et al. Acute myocardial infarction in women: A scientific statement from the American Heart Association. Circulation. 2016; 133:916-947.</ref>		**Less likely to be treated with guideline-directed medical therapies<ref name=“Mehta 2016”> Mehta LS, et al. Acute myocardial infarction in women: A scientific statement from the American Heart Association. Circulation. 2016; 133:916-947.</ref>
	**Less likely to undergo cardiac catheterization<ref> Mehta LS, et al. Acute myocardial infarction in women: A scientific statement from the American Heart Association. Circulation. 2016; 133:916-947.</ref>		**Less likely to undergo cardiac catheterization<ref name=“Mehta 2016”> Mehta LS, et al. Acute myocardial infarction in women: A scientific statement from the American Heart Association. Circulation. 2016; 133:916-947.</ref>
	**Less likely to receive timely reperfusion therapy<ref> Mehta LS, et al. Acute myocardial infarction in women: A scientific statement from the American Heart Association. Circulation. 2016; 133:916-947.</ref>		**Less likely to receive timely reperfusion therapy<ref name=“Mehta 2016”> Mehta LS, et al. Acute myocardial infarction in women: A scientific statement from the American Heart Association. Circulation. 2016; 133:916-947.</ref>
	**More likely to report fatigue, dyspnea, indigestion, nausea or vomiting, palpitations, or weakness<ref>Mehta LS, et al. Acute myocardial infarction in women: A scientific statement from the American Heart Association. Circulation. 2016; 133:916-947.</ref>, although some studies have found fewer differences in presentation<ref>Gimenez MR, et al. Sex-specific chest pain characteristics in the early diagnosis of acute myocardial infarction. JAMA Intern Med. 2014; 174(2):241-249.</ref>		**More likely to report fatigue, dyspnea, indigestion, nausea or vomiting, palpitations, or weakness<ref>Mehta LS, et al. Acute myocardial infarction in women: A scientific statement from the American Heart Association. Circulation. 2016; 133:916-947.</ref>, although some studies have found fewer differences in presentation<ref>Gimenez MR, et al. Sex-specific chest pain characteristics in the early diagnosis of acute myocardial infarction. JAMA Intern Med. 2014; 174(2):241-249.</ref>
	*More likely to delay presentation<ref> Mehta LS, et al. Acute myocardial infarction in women: A scientific statement from the American Heart Association. Circulation. 2016; 133:916-947.</ref>		*More likely to delay presentation<ref name=“Mehta 2016”> Mehta LS, et al. Acute myocardial infarction in women: A scientific statement from the American Heart Association. Circulation. 2016; 133:916-947.</ref>
	*Men with ACS:		*Men with ACS:
	**More likely to report central chest pain		**More likely to report central chest pain

	Factors associated with delayed presentation<ref> Mehta LS, et al. Acute myocardial infarction in women: A scientific statement from the American Heart Association. Circulation. 2016; 133:916-947.</ref>		Factors associated with delayed presentation<ref name=“Mehta 2016”> Mehta LS, et al. Acute myocardial infarction in women: A scientific statement from the American Heart Association. Circulation. 2016; 133:916-947.</ref>
	:		:
	*Female sex		*Female sex

SLuckettG: /* Risk of ACS */

2019-03-10T20:48:45Z

Risk of ACS

@@ Línea 13: / Línea 13: @@
 Gender differences in ACS
-*Women with ACS are less likely to be treated with guideline-directed medical therapies, less likely to undergo cardiac catheterization, and less likely to receive timely reperfusion.<ref> Mehta LS, et al. Acute myocardial infarction in women: A scientific statement from the American Heart Association. Circulation. 2016; 133:916-947.</ref>
+*Women with ACS:
-*Men are more likely to report central chest pain, while women are more likely to report fatigue, dyspnea, indigestion, nausea/vomiting, palpitations and weakness<ref>Mehta LS, et al. Acute myocardial infarction in women: A scientific statement from the American Heart Association. Circulation. 2016; 133:916-947.</ref>, although some studies have found fewer differences in presentation<ref>Gimenez MR, et al. Sex-specific chest pain characteristics in the early diagnosis of acute myocardial infarction. JAMA Intern Med. 2014; 174(2):241-249.</ref>
+**Less likely to be treated with guideline-directed medical therapies<ref> Mehta LS, et al. Acute myocardial infarction in women: A scientific statement from the American Heart Association. Circulation. 2016; 133:916-947.</ref>
-*Women are more likely to delay presentation. Additional factors associated with delay in seeking treatment include older age, Black or Hispanic race, and lower education and socioeconomic levels.<ref> Mehta LS, et al. Acute myocardial infarction in women: A scientific statement from the American Heart Association. Circulation. 2016; 133:916-947.</ref>
+**Less likely to undergo cardiac catheterization<ref> Mehta LS, et al. Acute myocardial infarction in women: A scientific statement from the American Heart Association. Circulation. 2016; 133:916-947.</ref>

Dudrea: /* Risk of ACS */

2018-07-30T22:25:07Z

Risk of ACS

← Revisión anterior		Revisión del 22:25 30 jul 2018
Línea 1:		Línea 1:
	===Risk of [[ACS]]===		===Risk of [[ACS]]===
	Clinical factors that '''increase''' likelihood of ACS/AMI:<ref>Body R, Carley S, Wibberley C, et al. The value of symptoms and signs in the emergent diagnosis of acute coronary syndromes. Resuscitation. 2010;81(3):281–286. PMID: 20036454</ref><ref>Panju AA, Hemmelgarn BR, Guyatt GH, et al. The rational clinical examination. Is this patient having a myocardial infarction? JAMA. 1998;280(14):1256–1263. PMID: 9786377</ref>		Clinical factors that '''increase''' likelihood of ACS/AMI:<ref>Body R, Carley S, Wibberley C, et al. The value of symptoms and signs in the emergent diagnosis of acute coronary syndromes. Resuscitation. 2010;81(3):281–286. PMID: 20036454</ref><ref>Panju AA, Hemmelgarn BR, Guyatt GH, et al. The rational clinical examination. Is this patient having a myocardial infarction? JAMA. 1998;280(14):1256–1263. PMID: 9786377</ref>
	*[[Chest pain]] radiating both arms >R arm >L arm		*[[Chest pain]] radiating both arms > R arm > L arm
	*[[Chest pain]] associated with diaphoresis		*[[Chest pain]] associated with diaphoresis
	*[[Chest pain]] associated with [[nausea/vomiting]]		*[[Chest pain]] associated with [[nausea/vomiting]]

DrKarb: /* Risk of ACS */

2018-02-12T14:43:19Z

Risk of ACS

← Revisión anterior		Revisión del 14:43 12 feb 2018
Línea 12:		Línea 12:
	*Chest pain reproducible with palpation		*Chest pain reproducible with palpation

	~~Male~~ and ~~female patients typical present with similar symptoms~~<ref>Gimenez MR, et al. Sex-specific chest pain characteristics in the early diagnosis of acute myocardial infarction. JAMA Intern Med. 2014; 174(2):241-249.</ref>		Gender differences in ACS
			*Women with ACS are less likely to be treated with guideline-directed medical therapies, less likely to undergo cardiac catheterization, and less likely to receive timely reperfusion.<ref> Mehta LS, et al. Acute myocardial infarction in women: A scientific statement from the American Heart Association. Circulation. 2016; 133:916-947.</ref>
			*Men are more likely to report central chest pain, while women are more likely to report fatigue, dyspnea, indigestion, nausea/vomiting, palpitations and weakness<ref>Mehta LS, et al. Acute myocardial infarction in women: A scientific statement from the American Heart Association. Circulation. 2016; 133:916-947.</ref>, although some studies have found fewer differences in presentation<ref>Gimenez MR, et al. Sex-specific chest pain characteristics in the early diagnosis of acute myocardial infarction. JAMA Intern Med. 2014; 174(2):241-249.</ref>
			*Women are more likely to delay presentation. Additional factors associated with delay in seeking treatment include older age, Black or Hispanic race, and lower education and socioeconomic levels.<ref> Mehta LS, et al. Acute myocardial infarction in women: A scientific statement from the American Heart Association. Circulation. 2016; 133:916-947.</ref>

Rossdonaldson1: Reverted edits by Teledoc4u (talk) to last revision by Rossdonaldson1

2016-12-04T14:05:10Z

Reverted edits by Teledoc4u (talk) to last revision by Rossdonaldson1

← Revisión anterior		Revisión del 14:05 4 dic 2016
Línea 1:		Línea 1:
	===Risk of [[ACS]]===		===Risk of [[ACS]]===
	Clinical factors that '''increase''' likelihood of ACS/AMI:<ref>Body R, Carley S, Wibberley C, et al. The value of symptoms and signs in the emergent diagnosis of acute coronary syndromes. Resuscitation. 2010;81(3):281–286. PMID: 20036454</ref> <ref>Panju AA, Hemmelgarn BR, Guyatt GH, et al. The rational clinical examination. Is this patient having a myocardial infarction? JAMA. 1998;280(14):1256–1263. PMID: 9786377</ref>		Clinical factors that '''increase''' likelihood of ACS/AMI:<ref>Body R, Carley S, Wibberley C, et al. The value of symptoms and signs in the emergent diagnosis of acute coronary syndromes. Resuscitation. 2010;81(3):281–286. PMID: 20036454</ref><ref>Panju AA, Hemmelgarn BR, Guyatt GH, et al. The rational clinical examination. Is this patient having a myocardial infarction? JAMA. 1998;280(14):1256–1263. PMID: 9786377</ref>
	*[[Chest pain]] radiating both arms >R arm >L arm		*[[Chest pain]] radiating both arms >R arm >L arm
	*[[Chest pain]] associated with diaphoresis		*[[Chest pain]] associated with diaphoresis
	*[[Chest pain]] associated with [[nausea/vomiting]]		*[[Chest pain]] associated with [[nausea/vomiting]]
	*[[Chest pain]] with exertion		*[[Chest pain]] with exertion
	*Chest pain associated with shortness of breath.

	Clinical factors that '''decrease''' likelihood of ACS/AMI: <ref>Swap CJ, Nagurney JT. Value and limitations of chest pain history in the evaluation of patients with suspected acute coronary syndromes. JAMA. 2005;294(20):2623–2629. PMID: 16304077</ref>		Clinical factors that '''decrease''' likelihood of ACS/AMI:<ref>Swap CJ, Nagurney JT. Value and limitations of chest pain history in the evaluation of patients with suspected acute coronary syndromes. JAMA. 2005;294(20):2623–2629. PMID: 16304077</ref>
	*Pleuritic chest pain		*Pleuritic chest pain
	*Positional chest pain		*Positional chest pain
Línea 13:		Línea 12:
	*Chest pain reproducible with palpation		*Chest pain reproducible with palpation

	Male and female patients typical present with similar symptoms. <ref>Gimenez MR, et al. Sex-specific chest pain characteristics in the early diagnosis of acute myocardial infarction. JAMA Intern Med. 2014; 174(2):241-249.</ref>		Male and female patients typical present with similar symptoms<ref>Gimenez MR, et al. Sex-specific chest pain characteristics in the early diagnosis of acute myocardial infarction. JAMA Intern Med. 2014; 174(2):241-249.</ref>

Teledoc4u: /* Risk of ACS */

2016-11-24T06:37:47Z

Risk of ACS

← Revisión anterior		Revisión del 06:37 24 nov 2016
Línea 1:		Línea 1:
	===Risk of [[ACS]]===		===Risk of [[ACS]]===
	Clinical factors that '''increase''' likelihood of ACS/AMI:<ref>Body R, Carley S, Wibberley C, et al. The value of symptoms and signs in the emergent diagnosis of acute coronary syndromes. Resuscitation. 2010;81(3):281–286. PMID: 20036454</ref><ref>Panju AA, Hemmelgarn BR, Guyatt GH, et al. The rational clinical examination. Is this patient having a myocardial infarction? JAMA. 1998;280(14):1256–1263. PMID: 9786377</ref>		Clinical factors that '''increase''' likelihood of ACS/AMI:<ref>Body R, Carley S, Wibberley C, et al. The value of symptoms and signs in the emergent diagnosis of acute coronary syndromes. Resuscitation. 2010;81(3):281–286. PMID: 20036454</ref> <ref>Panju AA, Hemmelgarn BR, Guyatt GH, et al. The rational clinical examination. Is this patient having a myocardial infarction? JAMA. 1998;280(14):1256–1263. PMID: 9786377</ref>
	*[[Chest pain]] radiating both arms >R arm >L arm		*[[Chest pain]] radiating both arms >R arm >L arm
	*[[Chest pain]] associated with diaphoresis		*[[Chest pain]] associated with diaphoresis
Línea 7:		Línea 7:
	*Chest pain associated with shortness of breath.		*Chest pain associated with shortness of breath.

	Clinical factors that '''decrease''' likelihood of ACS/AMI:<ref>Swap CJ, Nagurney JT. Value and limitations of chest pain history in the evaluation of patients with suspected acute coronary syndromes. JAMA. 2005;294(20):2623–2629. PMID: 16304077</ref>		Clinical factors that '''decrease''' likelihood of ACS/AMI: <ref>Swap CJ, Nagurney JT. Value and limitations of chest pain history in the evaluation of patients with suspected acute coronary syndromes. JAMA. 2005;294(20):2623–2629. PMID: 16304077</ref>
	*Pleuritic chest pain		*Pleuritic chest pain
	*Positional chest pain		*Positional chest pain