BACKGROUND: Accurate recognition of @entity1187 ( @entity1187 ) on initial presentation is key to minimizing morbidity and mortality. The wide spectrum of symptom presentation in @entity1187 complicates recognition. @entity1459 /non-ST-elevation @entity583 (UA/NSTEMI) may be particularly difficult to diagnose as @entity1 often do not exhibit initial high-risk features, leaving the clinician with symptom presentation alone, on which to base decisions regarding further investigation and treatment. PURPOSE: The aim of this study was to compare typical symptom presentation (classic description of @entity951 ) and atypical presentation in a cohort presenting with symptoms suggestive of UA/NSTEMI. METHOD: A prospective cohort design was used to evaluate 100 @entity1 enrolled in an Emergency Department Chest Pain Program. RESULTS: Although @entity1 with typical presentation were more likely to have UA/NSTEMI, atypical presentation did not rule out this diagnosis. Of the 31 @entity1 with UA/NSTEMI, most (n=23, 74.2%) had atypical symptoms. Male gender, symptom location, and history of @entity741 were significantly associated with UA/NSTEMI. Of those with a final diagnosis of UA/NSTEMI, there was no difference in symptom presentation based on age or gender. CONCLUSION: Clinicians should not rely on classic descriptions of @entity951 when evaluating @entity1 suspected of UA/NSTEMI.

Can symptom presentation predict unstable @entity951 /non-ST-segment elevation XXXX in a moderate-risk cohort?

@entity1 :: ('9606', 'Species') :: ['patients'] @entity1187 :: ('MESH:D054058', 'Disease') :: ['ACS', 'acute coronary syndromes'] @entity1459 :: ('MESH:D000789', 'Disease') :: ['Unstable angina'] @entity951 :: ('MESH:D000787', 'Disease') :: ['angina'] @entity741 :: ('MESH:D017202', 'Disease') :: ['ischemic heart disease'] @entity583 :: ('MESH:D009203', 'Disease') :: ['myocardial infarction']
@entity583 :: (MESH:D009203,Disease) :: ['myocardial infarction']
