{"id":914,"date":"2019-01-25T08:44:07","date_gmt":"2019-01-25T13:44:07","guid":{"rendered":"http:\/\/emeddoc.org\/?p=914"},"modified":"2019-01-25T08:44:07","modified_gmt":"2019-01-25T13:44:07","slug":"2014-aha-acc-guideline-for-the-management-of-patients-with-non-st-elevation-acute-coronary-syndromes","status":"publish","type":"post","link":"https:\/\/emeddoc.org\/?p=914","title":{"rendered":"2014  AHA\/ACC  Guideline  for  the  Management  of  Patients   With  Non\u2013ST-Elevation  Acute  Coronary  Syndromes"},"content":{"rendered":"\n<p>Very Useful statement for taking care of patients with chest pain, not shocking news, but interesting to see in cardiology literature, they appreciate  our concerns:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Acute ischemia was diagnosed in 22% of patients who presented to the ED with sharp or stabbing pain and in 13% of those with pleuritic pain.<\/li><li> Seven percent of patients whose pain was reproduced with palpation had ACS.<\/li><li>The relief of chest pain with nitroglycerin is not predictive of ACS.<\/li><li>One study reported that sublingual nitroglycerin relieved symptoms in 35% of patients with documented ACS compared with 41% of patients without ACS<\/li><li>The relief of chest pain by \u201cgastrointestinal cocktails\u201d (e.g., mixtures of liquid antacids, and\/or viscous lidocaine, and\/or anticholinergic agents) does not predict the absence of ACS<\/li><\/ul>\n\n\n\n<p><a href=\"https:\/\/www.umhealthpartners.com\/wp-content\/uploads\/2016\/10\/AcuteMI.pdf\">Link to Guideline<\/a><\/p>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Very Useful statement for taking care of patients with chest pain, not shocking news, but interesting to see in cardiology literature, they appreciate our concerns: Acute ischemia was diagnosed in 22% of patients who presented to the ED with sharp or stabbing pain and in 13% of those with pleuritic pain. Seven percent of patients [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[21,13,14,15,16],"tags":[],"class_list":["post-914","post","type-post","status-publish","format-standard","hentry","category-cardiology","category-pgy1","category-pgy2","category-pgy3","category-pgy4"],"_links":{"self":[{"href":"https:\/\/emeddoc.org\/index.php?rest_route=\/wp\/v2\/posts\/914","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/emeddoc.org\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/emeddoc.org\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/emeddoc.org\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/emeddoc.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=914"}],"version-history":[{"count":1,"href":"https:\/\/emeddoc.org\/index.php?rest_route=\/wp\/v2\/posts\/914\/revisions"}],"predecessor-version":[{"id":915,"href":"https:\/\/emeddoc.org\/index.php?rest_route=\/wp\/v2\/posts\/914\/revisions\/915"}],"wp:attachment":[{"href":"https:\/\/emeddoc.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=914"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/emeddoc.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=914"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/emeddoc.org\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=914"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}