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6 Chest Pain in Ed PDF
6 Chest Pain in Ed PDF
1.8 million/year
20% all cause mortality
5-6% in hospt. mortality
7-18% all cause mortality
Typical Chest Pain for ACS
De Novo or crescendo type of pain, angina post infarction (2 weeks after heart
attack)
HOW TO DIAGNOSE ???
Less Typical Symptoms
Dyspneu
Nausea
Elderly
Vommiting
Women Syncope
Diabetes
Mellitus
DIFFERENTIAL DIAGNOSIS FOR CHEST PAIN
Cardiovascular • Pericarditis
Problem • Aortic Dissection
Psychogenic
Angina
ELECTROCARDIOGRAM (ECG)
ELECTROCARDIOGRAM (ECG)
ELECTROCARDIOGRAM (ECG)
CARDIAC BIOMARKER
MANAGEMENT
MANAGEMENT – TRANSFER SYSTEM
MANAGEMENT – REPERFUSION THERAPY
MANAGEMENT
MANAGEMENT – PERIPROCEDURAL PHARMACOTHERAPY
• Relief pain,
breathlessness, and
anxiety
• Antiplatelet
MANAGEMENT – PERIPROCEDURAL PHARMACOTHERAPY
MANAGEMENT