Which patient population is more likely to present with atypical symptoms of ACS?

Patients who are women and elderly are more likely to present with atypical symptoms of Acute Coronary Syndrome (ACS). This is largely due to a combination of physiological and psychosocial factors.

Women often experience symptoms that differ from the classic presentation of chest pain, such as fatigue, shortness of breath, nausea, or back pain. These atypical symptoms can lead to delays in diagnosis and treatment, as they may not be immediately recognized as signs of a heart issue.

Similarly, older adults may also show atypical presentations of ACS, as age-related changes in physiology can alter the way symptoms are experienced and reported. For instance, they might present with confusion or general malaise rather than the more common symptoms of chest discomfort.

Both of these populations require heightened awareness and consideration during assessment and diagnosis to ensure prompt and appropriate intervention, making awareness of atypical symptoms critical in the management of ACS.