Snapshot A 54-year-old man presents to the emergency department 30 minutes after developing crushing sternal chest pain that radiates down the left arm and to the jaw. His symptoms are accompanied by anxiety. Medical history is significant for hypertension, hypercholesterolemia, and type II diabetes mellitus. On physical exam, the patient appears restless and is diaphoretic. An electrocardiogram is performed, which shows ST-segment elevated in leads V1-4. The cardiac catheterization lab is activated and the patient is awaiting stenting after appropriate acute management for acute coronary syndrome. Introduction Definition login to view 5 more bullets Epidemiology login to view 11 more bullets Pathophysiology login to view 13 more bullets Presentation Symptoms login to view 9 more bullets Complications Aneurysms Myocardial infarction Ischemic stroke Peripheral vascular disease Atheromatous plaque disruption can result in thrombosis login to view 1 more bullet