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ANNOTATION

 

  1. Patient With Known Or Suspected Ischemic Heart Disease (IHD)
  2. Obtain Brief History And Physical Examination
  3. Ongoing/Recent Symptoms Suggestive Of Ischemia?
  4. Obtain 12-Lead ECG, If Not Already Done
  5. Is Patient's Status An Emergency Based On Vital Signs And Appearance?
  6. Initiate Emergency Interventions For Patients With Possible Acute Coronary Syndrome (ACS) And Emergent Status
  7. Definite or Probable Acute Coronary Syndrome (ACS)?
  8. Is There ST-Segment Elevation Or New or Presumably New Left Bundle Branch Block (LBBB) With Ongoing/Recent Symptoms?
  9. Continue to Monitor Patients at Low-Risk for Death or MI
  10. Are There Recurrent Symptoms Suggestive of Ischemia, or Diagnostic ECG and/or Elevated Cardiac Markers?
  11. Non-Invasive Cardiac Stress Test
  12. Stress Test Results Indicate Diagnosis of CAD with High/Intermediate Risk Features
  13. Does The Patient Have Documented IHD Or A High Probability Of CAD?
  14. Does The Patient Have Intermediate Probability Of CAD?
  15. Does The Patient Have A Low Probability of CAD but Abnormal Cardiac Screening Tests?
  16. Consider Other Causes For The Symptoms

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