0 evaluări0% au considerat acest document util (0 voturi)
54 vizualizări2 pagini
This table summarizes the key clinical features, physical exam findings, electrocardiogram results, and chest x-ray findings for different conditions that can cause chest pain. Stable angina presents with substernal pressure or tightness after exertion relieved by rest, with possible murmurs or S4 on exam and ST depression or T-wave changes on ECG. Unstable angina is similar but can occur at rest. Myocardial infarction causes pressure or tightness lasting over 30 minutes, possibly with murmurs, S3, or signs of heart failure on exam and ST elevations on ECG. Pericarditis causes sharp pleuritic pain relieved by sitting up with pericardial rub and ST elev
This table summarizes the key clinical features, physical exam findings, electrocardiogram results, and chest x-ray findings for different conditions that can cause chest pain. Stable angina presents with substernal pressure or tightness after exertion relieved by rest, with possible murmurs or S4 on exam and ST depression or T-wave changes on ECG. Unstable angina is similar but can occur at rest. Myocardial infarction causes pressure or tightness lasting over 30 minutes, possibly with murmurs, S3, or signs of heart failure on exam and ST elevations on ECG. Pericarditis causes sharp pleuritic pain relieved by sitting up with pericardial rub and ST elev
This table summarizes the key clinical features, physical exam findings, electrocardiogram results, and chest x-ray findings for different conditions that can cause chest pain. Stable angina presents with substernal pressure or tightness after exertion relieved by rest, with possible murmurs or S4 on exam and ST depression or T-wave changes on ECG. Unstable angina is similar but can occur at rest. Myocardial infarction causes pressure or tightness lasting over 30 minutes, possibly with murmurs, S3, or signs of heart failure on exam and ST elevations on ECG. Pericarditis causes sharp pleuritic pain relieved by sitting up with pericardial rub and ST elev
Table : Clinical and diagnostic features of chest pain
Condition Pain features Physical examination Electrocardiogram Chest x-ray
Stable angina Substernal pressure, tightness, ache, Normal or S4, murmur may be ST depression, T-wave May be normal heaviness after exertion, lasting 10 present abnormalities minutes or more, relieved by rest Unstable angina Substernal pressure or tightness at rest Normal or S4, murmur may be ST depression, T-wave May be normal lasting 10 to 20 minutes occasionally present abnormalities relieved by nitroglycerin Myocardial Substernal pressure or tightness with Normal or S4, murmur may be ST elevations in contiguous May be normal unless infarction radiation to left or both arms or neck, present, S3 if congestive heart leads with reciprocal changes congestive heart failure is lasting >30 minutes failure present present Pericarditis Sharp, pleuritic, in the left precordial area, Pericardial rub Diffuse ST elevations may last hours or days, relieved by sitting upright Aortic dissection Abrupt onset of severe tearing pain Blood pressure differential upper LVH may be present Widened mediastinum radiating to the back extremities, murmur of aortic insufficiency Anxiety/panic Sharp, stabbing, variable length Normal cardiovascular exam Normal Normal attacks Pneumonia Sharp, sudden onset accompanied by Crackles, egophony Normal Evidence of consolidation fever, dyspnea Pulmonary Abrupt onset, accompanied by dyspnea Right ventricle heave, tachycardia, Tachycardia, RVH, RAD May be normal, atelectasis embolism right-sided S3 Costochondritis Sharp pain, lasting seconds or hours, Chest tenderness may be present Normal Often normal worsened by palpation or movement Pneumothorax Abrupt onset, accompanied by dyspnea Absent breath sounds on the Tachycardia Collapsed lung affected side, hyper resonant to percussion GERD Burning or epigastric pain, relieved by Normal Normal Normal antacids or proton pump inhibitors