Differential Diagnosis PAIN Onset: PAIN Characteristic Provocative Factors definitions NEW YORK HEART ASSOCIATION FUNCTIONAL CLASSIFICATION OF ANGINA Class 1 Patients with cardiac disease but without…
Complications Post-AMI First 2-3 Days: Later Complications: Other Late Complications: Pain Management Left Ventricular Failure Cardiogenic Shock Right Ventricular Infarction Pericarditis Arrhythmias Thromboembolic Disease Cardiac…
Goal: Recommendations Smoking Complete cessation No exposure to environmental/ passive tobacco smoke – ceasing ↓ %Y mortality by half– Patients should be asked about tobacco…
Most pt’s will present with prolonged or recurrent central chest discomfort but others (elderly, DM, women) may present with atypical sx. Risk = DM &…
Drug Indications Mechanism Adverse effects Precautions Nitrates (short- and long-acting) Relief of acute or anticipated pain (short-acting)Prevention of angina (long-acting) Systemic and coronary vasodilation HeadacheHypotensionSyncopeReflex…
Definition: clinical sx consistent w ACS w ECG features including any of: Reperfusion Critera: Qwaves Area of Infarction Posterior Infarcts: https://lifeinthefastlane.com/ecg-library/basics/inferior-stemi Posterior Circulation: Posterior Infarction:…
Troponins High-sensitive Troponin (hs-Trop T and hs-Trop I) Purpose: Kinetics: Advantages: Disadvantages: Causes of Elevated Troponin in Absence of Acute Coronary Syndrome (ACS): Clinical Practice:…
Causes of chest pains presenting in general practice, compared with emergency departments Percentage in general practice (%) Percentage in emergency departments (%) Musculoskeletal conditions 29…