Chest pain Flashcards
Chest pain precipitated by exertion, cold or stress, lasts 2-10 min
Stable Angina
Chest pain that has increasing pattern or noted at rest
Unstable angina
Chest pain that usually lasts >30 min.
Myocardial infarction
Pleuritic/sharp chest pain
Pericarditis
Retrosternal pain, that radiates to the neck, jaw, shoulder or arms; sometimes epigastric
Myocardial ischemia
Pleuritic pain relieved by sitting up and leaning forward
Pericarditis
Sudden onset of unrelenting chest pain, tearing or ripping quality, often radiating to the back, between the shoulder blades
Acute aortic dissection
Sudden onset dyspnea, often associated by tachycardia and hypotension
Pulmonary embolism
Sudden chest pain usually triggered by emotionally or physically stressful event, and mimics acute MI
Takotsubo (Stress-related) Cardiomyopathy
Chest pain usually caused by rupture of vasa vasorum
Intramural hematoma
Common causes of Primary spontaneous Pneumothorax
Male sex
Smoking
Family history
Marfan syndrome
Chest pain caused by trapped intrathoracic air that precipitates hemodynamic collapse
Tension pneumothorax
Most common cause of non-traumatic chest discomfort
Gastrointestinal disorders
Patients are seen massaging or clutching their chest, and describing their pain with a clenched fist
Levine’s sign
Characteristic ECG finding in Pulmonary embolism
Sinus Tachycardia: most common
S in Lead 1, Q wave and T wave in Lead III (S1Q3T3)
