Cardiac ACS •Crushing central chest pain •Radiates to neck/left arm •Associated nausea/SOB/sweatiness •Cardiovascular risk factors •May be normal •General: sweaty, SOB, in pain •CVS: S4 gallop, JVP distension, signs of heart failure, brady/tachycardic •ECG: ST elevation (or new LBBB), inverted T waves, Q waves •Troponin: increased (but normal in unstable angina) •CXR: normal or signs of heart f...
