1. Diagnosis & Triage of ACS (Arabic Version)

A patient presenting to the ER by chest pain.
Is his pain possibly of cardiac or non-cardiac origin?
Is he considered STEMI or NSTE-ACS?
Do we need to measure cardiac troponin?
What about doing CT coronaries if ECG & troponin are negative?

0:00 Intro
0:41 ACS spectrum
2:15 Fourth Universal Definition of MI
2:59 Working Diagnosis of STEMI vs. NSTE-ACS
5:53 Specific Definitions
9:42 Clinical Presentation
15:51 Risk Stratification
16:43 ECG
19:13 Cardiac Troponin
29:31 Non-invasive Imaging

2023 ESC Guidelines for the Management of Acute Coronary Syndromes
https://www.escardio.org/Guidelines/C...


2023 ESC Guidelines for the management of acute coronary syndromes Supplementary data
https://oup.silverchair-cdn.com/oup/b...


BEACON trial. Coronary CT Angiography for Suspected ACS in the Era of High-Sensitivity Troponins: Randomized Multicenter Study
https://pubmed.ncbi.nlm.nih.gov/26764...


ROMICAT-II trial. Coronary CT Angiography versus Standard Evaluation in Acute Chest Pain
https://www.nejm.org/doi/full/10.1056...


RAPID-CTCA trial. Rapid Assessment of Potential Ischaemic Heart Disease with CTCA) - a multicentre parallel-group randomised trial to compare early computerised tomography coronary angiography versus standard care in patients presenting with suspected or confirmed acute coronary syndrome: study protocol for a randomised controlled trial.
https://pubmed.ncbi.nlm.nih.gov/27923...