Learning Objectives:

1. Compare the 3 types of angina pectoris
2. Discuss the management of angina pectoris
3. List the situations when chest ‘pain’ occurs that a myocardial infarction should be considered
4. Define and describe the 4 steps in the prehospital management of a suspected myocardial infarction
5. Distinguish between the pain of angina pectoris and that of acute myocardial infarction
6. Discuss the ‘Silent MI’

Abstract:

Cardiovascular disease is the leading cause of death in the United States. Acute coronary syndrome includes angina pectoris and acute myocardial infarction. Each of these will be described in detail and the prevention, recognition and management of each reviewed. The ‘Silent MI,’ most commonly seen in women, elderly and diabetics will be discussed.

Outline:

1. Introduction
2. Chest ‘pain'
3. Angina pectoris
4. Acute myocardial infarction (AMI)