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Suspected ACS — GPhC CRA MCQ

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EasyCardiovascular TherapeuticsSuspected ACSGPhC CRA

A 52-year-old man asks for advice about crushing chest discomfort radiating to his left arm while waiting in the pharmacy. He looks pale, has been sweating for 20 minutes and has a history of smoking and hypertension. What is the most appropriate action?

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Correct answer: C — Call 999 and keep him resting while awaiting emergency care

Central chest pain with radiation, sweating and cardiovascular risk factors is suspicious for acute coronary syndrome. Community pharmacy management should prioritise emergency transfer rather than trial of OTC therapy. GTN should not replace emergency assessment in a patient with ongoing possible myocardial ischaemia. Keeping the patient resting while arranging ambulance care reduces avoidable exertion.

Reference: NICE CKS Chest pain; BNF