- Chest pain or discomfort of presumed cardiac origin
- Acute or Sub-acute shortness of breath with no clear reason or cause (up to ⅓ of ACS patients may present without chest pain).
Other signs and symptoms associated with atypical ACS presentation may include:
- Inter-scapula pain
- Epigastric pain
- Dizziness, Lightheadedness or Transient Loss of Consciousness
- Unexplained upper limb / neck discomfort
- Nausea / Vomiting with no obvious cause
- Palpitations / dysrhythmias
- Weakness / Malaise
Officers should have a low threshold for performing an ECG when any of the above symptoms are found.