Clinical Practice Flashcards
Tight or heavy pain
Onset predictable w exertion
Relieved by rest
Moderate pain
Angina
Central, tight or heavy pain
Onset at rest
Severe pain
Sweating
Central chest pain
Can radiate to jaw/left arm
MI
Radiates to back
Instantaneous onset
Very severe pain
Aortic dissection
Burning pain
Not exertional
Present at rest
Onset may be when supine
Gastroesophageal reflux
Sharp or stabbing pain
Not exertional
Present at rest
Worse supine
Pericarditis
Central, tight, heavy pain
Exertional
Brief episodes
Myocardial ischemia
Positional
Often worse at rest
Prolonged
Chest wall tenderness
Chest wall pain
Sudden onset
Sharp
Dyspnea
Pneumothorax
Pleuritic pain
Fever
Dyspnea
Pneumonia
What are some causes of orthopnoea
Cardiac failure
Large pleural effusion
Severe pneumonia
Brief unconsciousness
Associated w nausea
Onset in teens or 20s
Occurs in response to emotional distress
Vasovagal syncope
Brief duration
Known low systolic BP
Use of antihypertensive meds
Orthostatic hypotension
Occurs during micturition
Occurs w prolonged coughing
Situational syncope
Fainting/dizziness during exertion
Left ventricular outflow obstruction from aortic stenosis or hypertrophic cardiomyopathy
Family history of sudden death
History of cardiac disease
Antiarrhythmic meds
History of rapid palpitations
Cardiac arrhythmia