Why the study?
The study aimed to discuss selected causes of chest pain in patients with ischemic changes on the resting ECG.
This case report highlights the standard guideline-directed management of suspected STEMI with urgent coronary angiography and PCI.
Alerts EMS clinicians to non-ACS differentials in chest pain with ECG changes; leaves open validation in prospective cohorts.
The study aimed to discuss selected causes of chest pain in patients with ischemic changes on the resting ECG. The Emergency Medical Service (EMS) team was dispatched to a 49-year-old patient reporting crushing, retrosternal chest pain radiating to the left upper limb. The research material was obtained from the analysis of the patient’s medical records during his stay in the Emergency Department (ED), the Interventional Cardiology Department, as well as from the medical emergency card and the dispatch order of the EMS team. The study used an individual case study method. An urgent qualification for coronary angiography and percutaneous coronary intervention is the priority in providing healthcare service to a patient with the suspected acute coronary syndrome with ST-segment elevation. The ED staff followed the guidelines on management of acute coronary syndrome with ST-segment elevation.
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Ciastkowska-Berlikowska et al. (2022) studied this question.