Chest Pain Flashcards
Differential of Chest Pain
So many! Anxiety, aortic stenoisis, asthma, cardiomyopathy, esophagitis, gastroenteritis, Hypertensive emergency, myocarditis, pericarditis, cardiac tamponade, aortic dissection, PE
Differential of Chest Pain
So many! Anxiety, aortic stenoisis, asthma, cardiomyopathy, esophagitis, gastroenteritis, Hypertensive emergency, myocarditis, pericarditis, cardiac tamponade, aortic dissection, PE
Classic presentation of ACS
Patient presents in early AM with substernal achy pressure pain radiates to anterior neck, shoulder, left arm and back. 50% "chest pain" SOB Nausea Sweating
Risk factors of ACS
Past history of CAD Smoker HTN Elevated cholesterol Diabetes Family history Elevated CRP
What will you find in Px of ACS?
Not much - clear chest, CV RRR without rub or murmur, abdomen soft, negative stool, no edema, diaphoretic skin
How might a young woman present with ACS?
SOB, sweaty, syncope, stroke, palpitation, indigestion, weakness
NOT PAIN
What is you hear S3 sound?
LV dysfunction
S4 sound?
Decreased left ventricular compliance (cannot occur in a fib)
Angina is a _______ not a ________
symptom; diagnosis
Why does angina occur?
Mismatched of O2 demand and delivery to cardiac muscle; results in ischemia
How long to angina symptoms last?
3 types of angina?
- Stable
- Prinzmetals
- Unstable
what type of angina is associated with ST elevations?
Prinzmetals
Grade IV angina?
Bad; at rest. No activity
Grade I
Angina only occurs with strenuous rapid or prolonged exertion at work or recreation
