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Course # 40942 • Acute Coronary Syndrome


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  1. Discuss the prevalence and definition of coronary heart disease (CHD) and acute coronary syndrome (ACS).
  2. Explain the pathophysiology of ACS, including the role of plaque formation and rupture.
  3. Devise a strategy for screening and evaluation of asymptomatic individuals for ACS.
  4. Describe the various clinical presentations of ACS and the differential diagnosis of chest pain, including considerations for non-English-proficient patients.
  5. More effectively utilize ECG and cardiac biomarkers in the diagnosis of ST-segment elevation myocardial infarction (STEMI) and unstable angina/non-ST-segment elevation myocardial infarction (UA/NSTEMI).
  6. Discuss the factors involved in risk stratification of individuals with suspected ACS.
  7. Assess the consistency of your and your team's adherence to guidelines for the acute treatment of UA/NSTEMI.
  8. Select the optimal anti-ischemic, antiplatelet, and anticoagulant agents for the treatment of UA/NSTEMI.
  9. Distinguish between the clinical indications for an ischemia-guided or invasive strategy for patients with UA/NSTEMI.
  10. Discuss the issue of timing in selecting reperfusion therapy for patients with STEMI.
  11. Describe the role of percutaneous coronary intervention (PCI) for STEMI.
  12. Identify contraindications and cautions for fibrinolysis in the treatment of STEMI.
  13. List other reperfusion therapies used in the treatment of STEMI, and identify the appropriate therapy for individual patients.
  14. Outline appropriate secondary prevention measures for patients with ACS.
  15. Discuss the relationship between guideline adherence in practice and patient outcomes
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