Symptoms and Physical Examination Findings

The classic symptom of an ACS is midline anterior anginal chest discomfort, most often occurring when an individual is at rest, as a severe new onset, or as an increasing angina that is at least 20 minutes in duration. The chest discomfort may radiate to the shoulder, down the left arm, and to the back or to the jaw. Associated symptoms which may accompany the chest discomfort include nausea, vomiting, diaphoresis, or shortness of breath. While similar to stable angina, the duration maybe longer and the intensity greater. On physical examination, no specific features are indicative of ACS.

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