Question

Which intervention is at the center of the decision pathway in the management of ischemic chest pain, according to the ACS Algorithm?

a. fibrinolytic checklist
b. initial cardiac marker levels
c. targeted history
d. 12-lead EKG (interpretation)

Answer 1

The 12-lead EKG interpretation is central to the management of ischemic chest pain in the ACS Algorithm due to its ability to quickly indicate the presence of an acute MI or ischemia, essential for guiding treatment decisions.

Step-by-step explanation:

The 12-lead EKG (interpretation) is at the center of the decision pathway in the management of ischemic chest pain according to the ACS Algorithm. This is because the EKG can reveal alterations in the ST and Q waves, which are indicative of myocardial infarction (MI) or ischemia. An elevation of the ST segment, in particular, is often seen in patients with an acute MI, making the EKG a crucial tool for diagnosis. The EKG can also show infarcts and help differentiate between ST-elevated MI (STEMI) and non-ST elevated MI (non-STEMI). Early diagnosis with EKG is essential for timely management which may include thrombolytic therapy, other medications, and surgical interventions to restore blood flow and minimize heart damage.