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Suspected acute coronary syndrome — GPhC CRA MCQ

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EasyCardiovascular TherapeuticsSuspected acute coronary syndromeGPhC CRA

A 63-year-old man asks for indigestion treatment. He describes central chest tightness spreading to his left arm for 20 minutes while walking to the pharmacy, and he looks clammy. He takes ramipril and atorvastatin. What would you advise the patient?

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Correct answer: D — Call 999 and advise the patient to rest while awaiting emergency care

Exertional central chest pain radiating to the arm with sweating is concerning for acute coronary syndrome. Community pharmacy management should prioritise emergency response rather than treating presumed dyspepsia. Delaying assessment for OTC treatment would be unsafe. The pharmacist should keep the patient at rest and follow local emergency procedures.

Reference: NICE CKS; BNF