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Related Concept Videos

Acute Coronary Syndrome IV: Interprofessional Care01:28

Acute Coronary Syndrome IV: Interprofessional Care

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IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
514
Angina III: Clinical Manifestations and Assessment01:29

Angina III: Clinical Manifestations and Assessment

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Angina manifests as chest pain, tightness, or squeezing discomfort typically located behind the breastbone. It can radiate to the neck, jaw, shoulders, and inner aspects of the upper arms, most commonly the left arm. Patients may experience shortness of breath, fatigue, profuse sweating, dizziness, indigestion, heartburn, palpitations, anxiety, and vomiting as accompanying symptoms. This pain often lasts a few minutes and is triggered by physical exertion, emotional stress, heavy meals, or cold...
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Acute Coronary Syndrome V: Nursing Management01:26

Acute Coronary Syndrome V: Nursing Management

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Nursing Assessment:Nursing management of acute coronary syndrome (ACS) involves taking the patient's history, focusing on primary complaints such as chest pain, dyspnea, and excessive sweating (diaphoresis), as well as other symptoms like back or jaw pain, nausea, vomiting, palpitations, dizziness, and fatigue. The nurse also reviews the patient's history of cardiac events, risk factors such as hypertension, diabetes, smoking, family history, and current medications.In the objective assessment,...
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Acute Coronary Syndrome III: Diagnostic Studies01:30

Acute Coronary Syndrome III: Diagnostic Studies

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Diagnosing acute coronary syndrome or ACS begins with a thorough patient history. Notable symptoms include central, crushing chest pain radiating to the left arm, neck, jaw, or back, along with shortness of breath, sweating (diaphoresis), nausea, vomiting, dizziness, and palpitations.It is crucial to note any history of cardiac illnesses and assess risk factors, including age, gender, smoking, hypertension, diabetes, hyperlipidemia, and a sedentary lifestyle.During physical examination, vital...
492
Coronary Artery Disease V: Interprofessional Care01:27

Coronary Artery Disease V: Interprofessional Care

442
Interprofessional care for coronary artery disease includes pharmacological therapy and revascularization procedures.Pharmacological therapy for Coronary Artery Disease (CAD) aims to manage symptoms, prevent complications, and improve patient outcomes through various classes of medications:Antiplatelet Agents:Aspirin and Clopidogrel: These medications inhibit platelet aggregation, preventing blood clots, which is crucial for avoiding heart attacks and strokes. Doctors often prescribe these...
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Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care01:29

Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care

740
Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...
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Related Experiment Video

Updated: Apr 23, 2026

A Research Method For Detecting Transient Myocardial Ischemia In Patients With Suspected Acute Coronary Syndrome Using Continuous ST-segment Analysis
18:11

A Research Method For Detecting Transient Myocardial Ischemia In Patients With Suspected Acute Coronary Syndrome Using Continuous ST-segment Analysis

Published on: December 28, 2012

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Age Differences in Acute Chest Pain Care in a Multisite US Cohort.

Nicklaus P Ashburn1, Anna C Snavely1,2, Lyle Paukner1,2

  • 1Department of Emergency Medicine, Wake Forest University School of Medicine, Winston-Salem, North Carolina, USA.

Clinical Cardiology
|April 21, 2026
PubMed
Summary

Older adults with chest pain face higher risks of death, myocardial infarction (MI), and hospitalization within 30 days. This risk persists even after accounting for other health conditions and high-sensitivity troponin (hs-cTn) levels.

Keywords:
age differenceschest painhigh‐sensitivity cardiac troponinolder adults

Related Experiment Videos

Last Updated: Apr 23, 2026

A Research Method For Detecting Transient Myocardial Ischemia In Patients With Suspected Acute Coronary Syndrome Using Continuous ST-segment Analysis
18:11

A Research Method For Detecting Transient Myocardial Ischemia In Patients With Suspected Acute Coronary Syndrome Using Continuous ST-segment Analysis

Published on: December 28, 2012

23.8K

Area of Science:

  • Emergency Medicine
  • Cardiology
  • Geriatrics

Background:

  • Chest pain is a common emergency department (ED) presentation.
  • Age is a significant factor in patient outcomes.
  • Understanding age-related differences in safety and healthcare utilization is crucial for effective ED protocols.

Purpose of the Study:

  • To investigate the impact of age on safety and healthcare utilization in chest pain patients.
  • To determine if age differences persist after adjusting for comorbidities and high-sensitivity troponin (hs-cTn).

Main Methods:

  • A multisite observational study of 40,979 patients with chest pain across 25 EDs.
  • Patients categorized into three age groups: young (18-45), middle-aged (46-64), and older (≥65).
  • Outcomes assessed: 30-day death or myocardial infarction (MI) and 30-day hospitalization, analyzed using multivariable logistic regression.

Main Results:

  • Older adults (≥65) had significantly higher rates of 30-day death or MI (7.3%) and hospitalization (56.3%) compared to younger groups.
  • Middle-aged patients also showed increased risk compared to young patients.
  • Adjusted analyses confirmed that older and middle-aged patients had significantly higher odds of death/MI and hospitalization.

Conclusions:

  • Age is an independent predictor of adverse outcomes in chest pain patients presenting to the ED.
  • Older adults experience greater safety risks and healthcare utilization post-chest pain presentation.
  • These findings underscore the need for age-specific considerations in chest pain management protocols.