Ischemic Heart Disease

Question 1

What does angina feel like?

Answer 1

Pressing, squeezing, heaviness, a weight

Radiates to arm(s), neck, jaw and teeth

Question 2

When do you get angina?

Answer 2

Exertion, stress, cold wind, after meals

Question 3

GI differentials of chest pain

Answer 3

Reflux
Peptic ulcer pain
Oesophageal spasm
Biliary colic

Question 4

MSK differentials of chest pain

Answer 4

Injury, location, tender, prolonged, exac. by moving area,

Nerve root pain, character, prolonged

Question 5

Central chest pain, posture related

i.e relieved when sitting forward

Answer 5

Pericarditis!

Question 6

Pleuritic pain is exacerbated by what?

Answer 6

Breathing, sharp catching and focal pain

Question 7

Pain of dissection of aorta

Answer 7

Tearing, excruciating, severe then eases

Question 8

Gold standard for looking at coronary heart disease

Answer 8

Angiography

-can give follow-in angioplasty
-risk 1:1000 death, stroke
Radiation
Contrast: renal dysfunction, rash, nausea