Chest pain pressure tightness lasting over 5 minutes
Shortness of breath at rest
Fainting or near fainting
New weakness trouble speaking vision loss
Palpitations with dizziness
Bleeding that will not stop
Medications and adherence
Take dual antiplatelet therapy exactly as prescribed
Do not stop aspirin or P2Y12 inhibitor without cardiology approval
Report black stools vomiting blood easy bruising
Activity and follow up
Cardiac rehab referral attendance
Cardiology follow up within 7 to 14 days
Gradual return to activity per rehab plan
Risk factor management
Smoking cessation plan
Diabetes BP lipid targets review
Diet and exercise counseling
Cath access site care
Watch for swelling increasing pain redness drainage
Keep site clean and dry per instructions
References
Clinical guidelines and evidence
Core references
ACC AHA guideline for management of ST elevation myocardial infarction
Class I recommendation framework for reperfusion and antithrombotics
Time targets for FMC to device and door to needle
ESC guideline for acute myocardial infarction with ST segment elevation
European system metrics and pharmacotherapy recommendations
Transfer and pharmaco invasive strategy guidance
Landmark trials and registries
ISIS-2 trial
Aspirin mortality benefit in suspected acute MI
Streptokinase and aspirin additive benefit
GUSTO trial program
Thrombolysis strategy comparisons
Bleeding and stroke outcomes context
STREAM trial
Pharmaco invasive approach when timely PCI not available
Tenecteplase based strategy outcomes
Source file
Clinical management system formatting requirements
Checkbox nesting and section structure constraints
SymptomDx is an educational tool for medical professionals. It does not replace clinical judgment. Verify all clinical data and drug dosages with authoritative sources.