FSP Arztbrief 02: Myokardinfarkt

Sample Doctor’s Letter (Case 02: Suspected Myocardial Infarction / ACS – Klaus Schneider, 58 years) – a complete example of an FSP-style medical letter for chest pain presentation. It demonstrates a clear structure from salutation and introduction through acute history (sudden retrosternal pressure, radiation to left arm/jaw/back, refractory to nitro), vegetative symptoms (nausea, cold sweat, dyspnea), past medical history and medication (hypertension, hyperlipidemia, known CAD with prior stent; ACE inhibitor, statin, ASA), social and family history (smoking, alcohol, positive family history), and a concise summary/assessment (urgent suspicion of acute coronary syndrome; differential STEMI vs NSTEMI). It also outlines recommended urgent next steps: 12‑lead ECG, cardiac biomarkers (troponin, CK/CK‑MB), continuous monitoring, guideline-based medication (e.g., heparin, analgesia), and timely coronary angiography, ending with professional handover/closing.