Action
- Patient presents with features suggestive of acute aortic syndromes:
- Recent cardiothoracic surgery/PCI
- Chest pain AND syncope, abdominal pain, stroke, or neurologic deficit
- Perfusion deficits
- Syncope
- Sympathomimetic use
- Perform electrocardiogram
- Perform chest x-ray
Decision
Does ECG show a STEMI?
Yes
- Image for acute aortic syndromes
- Consider PCI first for STEMI + acute aortic syndrome (Class III)
Perform POCUS TTE / TEE