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Chest Pain in the Emergency Department: Diagnostic Pathways

…select a safe disposition and diagnostic strategy. Only a minority of patients presenting with acute chest pain ultimately have ACS; reported rates are generally 5…

Differential Diagnosis of Chest Pain: A Clinical Overview

…chest and can radiate to the neck, shoulders, and arms, sometimes following the trapezius ridge [2]. Distinguishing Features: Recognition may be aided by the pain…

Approach to patients with chest pain: differential diagnoses, management & ECG

…rare condition) In addition to these five conditions, there are numerous other causes of chest pain, but the other causes are either subacute or non…

Clinical application of ECG in chest pain & acute myocardial infarction

…is stated that it is extremely uncommon to have a non ischemic ECG (absence of ST T changes) during chest pain caused by myocardial ischemia…

Pleural aspiration and chest drain

…where the neurovascular bundle lies, and the drainage is stopped for coughing, chest pain, or when the volume limit is reached. Indications Diagnostic aspiration: a…

Pre-test Probability and Selection of Non-invasive Testing in Stable Angina

…and infarction Definition and clinical rationale Stable angina, or chronic chest pain attributable to suspected chronic coronary syndrome, is evaluated by estimating the likelihood of…

The ischemic cascade

…ischemic cascade describes the sequence of events during myocardial ischemia, beginning with perfusion abnormalities and ultimately leading to chest pain (angina). Myocardial perfusion imaging techniques…

Atrial fibrillation: quick reference for emergency management

…the following: A systolic blood pressure < 90 mmHg caused by the arrhythmia. Ongoing myocardial ischaemia with chest pain and ECG changes. Acute pulmonary oedema…

Coronary Artery Disease

…managed as a distinct clinical entity. The hallmark of stable coronary artery disease is exercise related angina pectoris (chest pain); symptoms of ischemia appear during…

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