Early evaluation of patients with chest pain can be challenging. The patient’s history, presentation, chief complaint, and initial EKG interpretation must guide decisions
regarding the necessary workup. Having a low threshold for obtaining an initial EKG leads to precise and efficient decision
making. Minutes count in the treatment and timing for heart muscle recovery in the setting of acute ischemia.

Educational objectives 
• Review pathophysiology and etiology of acute ischemia
• Discuss current standards for treating acute chest pain regarding concern for acute ischemia
• Describe EKG changes that could be concerning for a patient with chest pain

Level: Intermediate