PBL 6 “I’ve got severe pain in my chest”

PBL 6 “I’ve got severe pain in my chest”

1. CAD

   • MI
     • types
       • STEMI
       • NSTEMI
     • signs & symptoms
       • Chest pain
       • Shortness of breath
       • Syncope
       • Tachycardia
       • Bradycardia
     • risk factors
       • Modifiable
         • Hypertension
         • Hyperlipidemia
         • Obesity
         • Smoking
       • Non-Modifiable
         • Age
         • Family History
         • Race
     • causes
       • Vasospasm
       • Emboli
       • Low systemic Pressure
     • complications
       • LVHF
       • Infract expansion
       • Myocardial rupture
       • Arrhythmia
       • Pericarditis
       • cardiogenic shock
   • Angina Pectoris
     • types
       • Stable Angina
       • Variant Angina
       • Unstable Angina

2. lab investigation

   • cardiac markers
     • CK
       • CK-MB
     • cTnI

3. ECG in MI

   • causes for ST elevation
     • Pericarditis
     • hyperkalemia
     • ventricular aneurysm
     • early repolarization

4. DDx of chest pain

   • Cardiac
     • Pericarditis
     • HF
   • Pulmonary
     • Pneumothorax
     • Pneumonia
   • GI
     • GERD
     • Esophagitis
   • Musculoskeletal
     • Trauma
     • Rib pain

5. Referred Vs Radiating pain

   • Referred
     • is not felt at the site of disease but felt at distant site
   • Radiating
     • extension of pain from original site to another site with persistence of pain at original site

6. PCI

   • Procedure
     • 1- Cathetrization
       • 2- Dye injecting
         • 3- Imaging
           • 4- Guide wire insertion and balloon catheter
   • definition
     • nonsurgical procedure that improves blood flow to your heart
   • complications
     • bleeding
     • BV damage
     • arrhythmias

7. prevention

8. pharmacology

   • Initial treatment of MI
   • Angina & ACS Drugs
     • Organic nitrates
       • For all types of Angina & ACS
     • CCBs
       • For all types of Angina & ACS
     • Beta blockers
       • Not used for Variant Angina
     • Sodium channel blockers
       • For stable Angina

Images and files in the map