Presenting complaint among patients with myocardial infarction who present to an urban, public hospital emergency department

Prognostic Value of Selected Presenting Features of Acute Coronary Syndrome in Predicting In-Hospital Adverse Events: Insight from the Thai Acute Coronary Syndrome Registry

“…Dyspnea, presyncope/syncope, nausea/vomiting and cardiac arrest are common among atypical presentations of ACS and have previously been studied as a group in predicting adverse outcomes (4,5,7,8) …”

“…of patients with ACS and are associated with less effective management and unfavorable prognosis (4)(5)(6)(7)(8)(9). Dyspnea, presyncope/syncope, nausea/vomiting and cardiac arrest are common among atypical presentations of ACS and have previously been studied as a group in predicting adverse outcomes (4,5,7,8) …”

Emergency Medical Services Management of ST-Elevation Myocardial Infarction

“…15 Therefore, in order to avoid missing a potential STEMI, the EMS provider should also ask the patient about other anginal equivalents, including dyspnea, palpitations, syncope, and fatigue. 15,16 Clinical presentations of STEMI with symptoms other than chest pain are frequent in diabetic patients, female patients, and elderly patients. Chest discomfort with evidence of diaphoresis significantly increases the likelihood for AMI or unstable angina.…”

A Multidisciplinary Approach to Reducing Door-to-Balloon Time in a Community Hospital

“…Yet this scenario does not occur in all STEMI patients, and some exhibit an atypical presentation. 19 We reviewed the STEMI data collection (Table 4) tool at each monthly meeting and performed case reviews for each patient who fell outside the designated goal times. Along with discussions with the triage nurse, we scrutinized the triage notes to understand better why patients did not have an ECG within 10 minutes of arrival in the ED.…”