Clinical Case Database / Category: Patient Management
Management of non-ST elevation acute coronary syndrome
Kalyan Gurazada MBBS, Jagdip Sidhu MBBS MD MRCP
Foundation Years Journal, volume 3, issue 2, p.45 (123Doc Education, London, March 2009)
A 62-year-old manual worker presents to the A&E department with a 2-hour history of central chest pain radiating to both arms. His pain subsided after being given sublingual glyceryl trinitrate and aspirin 300mg in the ambulance. Prior to his admission he smoked 20 cigarettes a day for over 40 years. Examination was unremarkable.
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Kalyan Gurazada MBBS
ST2 General Medicine
Darent Valley Hospital
Jagdip Sidhu MBBS MD MRCP
Darent Valley Hospital
St. Thomas' Hospital
1. Guidelines for the management of non-ST segment elevation acute coronary syndromes. European Heart Journal, 2007, 28:1598â€“1660.
2. MI: secondary prevention. NICE clinical guideline 48. May 2007.
3. Antman EM, et al. The TIMI risk score for unstable angina/non-ST elevation MI: a method for prognostication and therapeutic decision-making. JAMA, 2000, 284:835â€“842.
4. Mehta SR, et al. Routine vesus Selective invasive strategies in patients with acute coronary syndromes: a collaborative metanalysis of randomised trials. JAMA, 2005, 293:2908â€“2917.
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About the Clinical Cases Database
The Foundation Years Clinical Cases Database is a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.
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