Medical Students You need to acquire the following knowledge to manage this case

• Structure Knowledge

  • Anatomy of Coronary artery

  • Structures around Heart

• Function Knowledge

  • Coronary blood flow

  • Myocardial blood flow

  • Normal EKG

  • Thrombosis

  • Thrombolysis

• Mechanisms Knowledge

  • Pathological processes, narrowing Coronary vessels

  • Atherosclerosis

  • Natural history of clot/Thrombus

  • Myocardial Necrosis

  • Sequelae to Myocardial necrosis

• Patho-physiology

  • Effect of Ischemia / EKG Changes

  • Effect of Myocardial necrosis/ Enzymes release/EKG changes/Function

• Clinical Medicine Knowledge

  • Predisposing factors for Coronary Pathology

  • Distinguishing Symptoms

  • Investigations to delineate Pathology

  • Natural History of the disease

• Therapeutics Knowledge

  • Drugs that can alter Pathophysiology

  • Permitted activity / procedures

  • Symptomatic relief

  • Surgical measures

  • Non surgical invasive measures

  • Preventive measures/beta-blockers, Aspirin, Heparin

  • Thrombolytic therapy