Mr Mohamed Passing a hard time

Mr Mohamed Passing a hard time

1. chest pain

   • Bone, Muscle, or Nerve Problems
     • Rib problems, muscle strain, shingles
   • Gastrointestinal Problems
     • GERD, peptic ulcers
   • Lung problems
     • Pneumonia, pleuritis, pneumothorax, and asthma
   • Heart problems
     • ANGINA
       • MYOCARDIAL INFARCTION
         • Risk Factors
           • Age
           • Family history
           • Lipid abnormalities
           • Smoking tobacco
           • hypertension
           • diabetes mellitus
           • stress
             • obesity
             • Illegal drug use
         • Signs & Symptoms
         • Types
         • Morphology
         • investigations
           • ECG
             • Chest X Ray
               • Blood Tests
                 • Angiography
                   • a procedure that uses a special dye (contrast material) and x-rays to see how blood flows through the arteries in your heart
                 • CK-MB
                 • C Troponin I
                 • Myoglobin
                 • lactate dehydrogenase
         • complications
           • treatment
             • OXYGEN
               • MORPHINE
                 • Relief of ischemic pain
             • thrombolytic agents
               • act either directly or indirectly to convert plasminogen to plasmin, which, in turn, cleaves fibrin, thus lysing thrombi
                 • Streptokinase
                   • Alteplase
             • lignocaine
               • Blocks the fast Na channel and shortens the action potential. It blocks inactivated channels (depolarized, e.g. hypoxic and ischemic tissues).
             • diuretics
               • ion transport inhibitors that decrease the re-absorption of Na + at different sites in the nephron
                 • Thiazide, Spironolactone
             • surgical
               • Coronary angioplasty
                 • involves temporarily inserting and inflating a tiny balloon where your artery is clogged to help widen the artery
           • Thrombosis
           • Cardiogenic Shock
           • Rupture
             • Arrhythmia
               • Acute pericarditis
           • Cardiac tamponade
           • Dressler
           • Ventricular aneurysm
           • SHOCK
       • Attacks are caused by reduced oxygen in the blood reaching the heart
         • Transient Myocardial ischemia
       • tightness and difficulty breathing
       • symptom of heart disease
       • stable
         • arises with exertion or emotional stress
       • unstable
         • occurs at rest
       • Treatment
         • B Blockers (Atenolol)
           • relaxing blood vessels and slowing heart rate to improve blood flow and decrease blood pressure
         • Isosorbide dinitrate
           • by relaxing the blood vessels and increasing the supply of blood and oxygen to the heart while reducing its work load
         • Aspirin
           • stopping the production of certain natural substances that cause fever, pain, swelling, and blood clots
         • Glyceryl trinitrate
           • vasodilator
         • Lipid Lowering drugs
           • statins
           • bile acid binding resins
           • cholestrol absorption inhibitors
     • valvular heart disease
       • myocarditis
         • CAD
   • anxiety and panic attacks

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