In which patient groups should a high index of suspicion for acute coronary syndrome (ACS) be maintained?

Updated: Sep 30, 2020
  • Author: David L Coven, MD, PhD; Chief Editor: Eric H Yang, MD  more...
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Answer

As many as half of all cases of ACS are clinically silent in that they do not cause the classic symptoms of this syndrome. Consequently, ACS goes unrecognized by the patient. Maintain a high index of suspicion for ACS, especially when evaluating women, patients with diabetes, older patients, patients with dementia, and those with a history of heart failure.


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