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Chest Pain in the Emergency Department: Diagnostic Pathways

…patients presenting with acute chest pain ultimately have ACS; reported rates are generally 5–10%, although some series report 10–20%. Other life threatening cardiopulmonary…

Clinical application of ECG in chest pain & acute myocardial infarction

…ST T changes when recording during chest pain is not consistent with myocardial ischemia. In other words, chest pain caused by ischemia will always result…

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

…table below shows a systematic history taking in patients presenting with chest pain (chest discomfort) or other symptoms suggestive of the five conditions listed above…

Differential Diagnosis of Chest Pain: A Clinical Overview

…4. Other Systemic/Local Causes Conditions: Intraabdominal processes, pneumothorax, and herpes zoster pain are other considerations when assessing chest pain [2]. Autoimmune/Malignancy: A history…

Acute exacerbation of COPD: quick reference

…compared with usual. Increased sputum volume and new sputum purulence. Fever, rigors and respiratory tract symptoms. Chest pain, haemoptysis, syncope and palpitations. Orthopnoea, weight gain…

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…

Stable Coronary Artery Disease (Angina Pectoris): Diagnosis, Evaluation, Management

…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…

Transcutaneous and transvenous pacing

…Twitching of the chest muscles and spikes on the screen mean nothing. Capture is verified only when every pacing spike is followed by a wide…

Acute Coronary Syndrome: Definitions and Initial Triage

…emotional stress, or another stressor. Manifestations include angina, other chest discomfort, dyspnoea, or no symptoms. Although chronic coronary disease may remain stable for prolonged periods…

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