Download - Acute Coronary Syndrome PPT
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Diagnosis and Management
of Chest Pain and Acute
Coronary Syndrome
(ACS)Unstable Angina/NSTM!
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Continuing Medical !m"lementation #$$.bridging the care gap
!nitial A""roach
%$ !s the "resenting sym"tom&
' ty"ical angina
' aty"ical angina
'nonanginal chest "ain
*$ +o, do you define each of the abo-e
.$ hat is this "atient0s clinical li1elihood of CAD
2$ Does the "atient re3uire immediate thera"y
4$ hat in-estigations are indicated hen5$ Does the "atient re3uire coronary angiogra"hy
6$ Does the "atient re3uire re-asculari7ation
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Continuing Medical !m"lementation #$$.bridging the care gap
Chest Pain Differential
8 Angina
8 Pericarditis
8 Pleurisy
8 Pulmonary
mbolism
8 Aortic dissection
8 so"hagealreflu9/s"asm
8 Pe"tic/biliary/colonicreferred "ain
8 Chest ,all "ain
8 Neurogenic "ain
' C disc disease
' Thoracic outlet
' shingles
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Continuing Medical !m"lementation #$$.bridging the care gap
Categori7e the Chest Pain
Typical angina
%$ :etrosternal com"onent
*$ ;rought on by stress or e9ercise
.$ :elie-ed "rom"tly by rest or NT