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

CAD
1. MI
  1. types
    1. STEMI
    2. NSTEMI
  2. signs & symptoms
    1. Chest pain
    2. Shortness of breath
    3. Syncope
    4. Tachycardia
    5. Bradycardia
  3. risk factors
    1. Modifiable
      1. Hypertension
      2. Hyperlipidemia
      3. Obesity
      4. Smoking
    2. Non-Modifiable
      1. Age
      2. Family History
      3. Race
  4. causes
    1. Vasospasm
    2. Emboli
    3. Low systemic Pressure
  5. complications
    1. LVHF
    2. Infract expansion
    3. Myocardial rupture
    4. Arrhythmia
    5. Pericarditis
    6. cardiogenic shock
2. Angina Pectoris
  1. types
    1. Stable Angina
    2. Variant Angina
    3. Unstable Angina
lab investigation
1. cardiac markers
  1. CK
    1. CK-MB
  2. cTnI
ECG in MI
1. causes for ST elevation
  1. Pericarditis
  2. hyperkalemia
  3. ventricular aneurysm
  4. early repolarization
DDx of chest pain
1. Cardiac
  1. Pericarditis
  2. HF
2. Pulmonary
  1. Pneumothorax
  2. Pneumonia
3. GI
  1. GERD
  2. Esophagitis
4. Musculoskeletal
  1. Trauma
  2. Rib pain
Referred Vs Radiating pain
1. Referred
  1. is not felt at the site of disease but felt at distant site
2. Radiating
  1. extension of pain from original site to another site with persistence of pain at original site
PCI
1. Procedure
  1. 1- Cathetrization
    1. 2- Dye injecting
      1. 3- Imaging
        4- Guide wire insertion and balloon catheter
2. definition
  1. nonsurgical procedure that improves blood flow to your heart
3. complications
  1. bleeding
  2. BV damage
  3. arrhythmias
prevention
pharmacology
1. Initial treatment of MI
2. Angina & ACS Drugs
  1. Organic nitrates
    1. For all types of Angina & ACS
  2. CCBs
    1. For all types of Angina & ACS
  3. Beta blockers
    1. Not used for Variant Angina
  4. Sodium channel blockers
    1. For stable Angina

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

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	Created by m b about 7 years ago