CADAsymptomatic CADStable AnginaUnstable AnginaNSTEMISTEMIPain_ExertionRestRestrestRelieves pain_Rest___biomarkers___ElevatedElevatedST segment____ElevatedOcclusion<5070%90%90%100%No IschaemiaDemand IschDermand IschDemand IschSupply ischaemiaHospitalisation?NoNoYesYesyes Is chest pain angina?Presenting illness (Diamond classificaion)Risk factorsAssociationsPhysical Ex1) Substernal or left sidesDMSOBnon-pleuritic2) Worsened with exertionSmokingPresyncopenon-positional3) Relieved by rest & NTGHypertensionN/Vnon-tender3/3 = Typical anginaDyslipidaemia2/3 = atypical anginaSmokingOtherwise = non-anginalFam Hx + Age Differential Diagnosis in approach for chest pain OR SOCRATES ...