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Don't take our word for it
"The stations you provide are strikingly similar to those I came across during my medical school finals (some even verbatim!), and I have tried many other exam platforms. I'm truly grateful for your priceless support throughout my final couple of years at medical school!"
Raza Q π¬π§
"It has absolutely everything for medical school, so many histories with detailed differential diagnoses, how to approach emergencies, commonly prescribed drugs..every kind go examination youβll ever need in osces"
John R π¬π§
"Thank you SO MUCH for the amazing educational resource. Iβve tried lots of platforms and books with mock OSCE stations and yours is by far and away the best Iβve tried"
Ed M π³πΏ
"Get this right away. So helpful for OSCEs but also general clinical learning and understanding. Wish I had brought it sooner"
Emma W π¬π§
"Without a doubt, your platform outshines all other OSCE resources currently available. In all honesty, I can confidently attribute my success in securing a distinction in my finals to OSCEstop."
Harish K π¬π§
"OSCEstop distinguishes itself from many other platform banks by offering a wealth of questions that mimic the demanding and complex aspects of our finals. This platform played a crucial role in ensuring I was ready for the level of difficulty that awaited me in my final exams."
Acute coronary syndrome is a spectrum of conditions resulting from decreased blood flow in the coronary arteries, encompassing unstable angina (UA), non-ST-elevation myocardial infarction (NSTEMI), and ST-elevation myocardial infarction (STEMI).
Pathophysiology
Atherosclerotic plaque ruptureΒ leading to thrombus formation and vessel occlusion.
Coronary artery spasm, embolism or dissection (less common).
Clinical Features π‘οΈ
Clinical features
Chest pain:Central chest pain, often radiating to the jaw, arm, or back. May be associated with nausea, vomiting, and diaphoresis.
Shortness of breath.
Palpitations, syncope, or sudden cardiac death.
Investigations π§ͺ
Tests
ECG:ST-elevations in STEMI, ST-depression or T-wave inversion in NSTEMI/UA.
Bloods: Cardiac enzymes (troponin, CK-MB) elevated in MI.
Echocardiogram: Evaluate left ventricular function and possible complications.
Coronary angiography: Visualisation of coronary artery occlusion.
ACS represents a spectrum of disease based on coronary artery occlusion and resultant myocardial damage.
Time is myocardium:rapid diagnosis and treatmentΒ are crucial.
Revascularisation (PCI or CABG) is key in management along with medications for secondary prevention.
References
National Institute for Health and Care Excellence (2020). Overview | Acute coronary syndromes | Guidance | NICE. [online] www.nice.org.uk. Available at: https://www.nice.org.uk/Guidance/NG185.