Chest Pain at Cyberjaya University College Of Medical Science | Flashcards & Summaries

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TESTE DEIN WISSEN

Complication of myocardial infarction 

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Dressler's syndrome (Pericarditis, fever, Pericardial effusions) - treat like pericarditis 

Usually weeks or months later 

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What is the onset, peak and duration of LDH as cardiac enzyme 


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6 -12 hours onset 

24 -48 hours peak 

Last for 8 days

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Characteristics of oesophageal reflux or spasm 

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TESTE DEIN WISSEN

Could be the same as MI or unstable angina 

but occurs with bending, lifting, straining or lying down 

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Characteristics of praecordial catch syndrome 

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TESTE DEIN WISSEN

Irritation of intercostal nerve

Unilateral low chest pain - 30 seconds to 3 mins 

Aggravated with exertion 

Relieved by taking very slow deep breaths

Self limiting  

Lösung ausblenden
TESTE DEIN WISSEN

What is the onset, peak and duration of CKMB as cardiac enzyme 


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3- 12 hours onset 

18- 24 hours peak 

​Last for 2 days

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Pharmacological management of post-attack/ low-risk stable angina)

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TESTE DEIN WISSEN

Nitroglycerin (symptom control) 

Long term: 

- Aspirin/ Clopidogrel

- Statins 

- Beta- blockers 

- ACE-i for LV dysfunction pts 

Lösung ausblenden
TESTE DEIN WISSEN

What investigation to do in stable angina patients 

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TESTE DEIN WISSEN

Exercise ECG


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TESTE DEIN WISSEN

Characteristics of aortic dissection 

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TESTE DEIN WISSEN

Sudden severe tearing pain in retrosternal and between the scapulae area

Radiates to abdomen, flanks and legs 

Inequality of pulses (carotid, radial, femoral) - radio-radial, radio-femoral delays 

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TESTE DEIN WISSEN

Characteristic of myocardial infarction/ unstable angina 

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TESTE DEIN WISSEN

Heavy, crushing pain at the retrosternal/ epigastric area 

Occurs at Exertion 

Radiates to the arm or jaw 

Pain lasts for 15-20 mins 

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TESTE DEIN WISSEN

Management of pulmonary embolism 

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TESTE DEIN WISSEN

Oxygen 

Parental anticoagulation - LMWH, fondaparinux 

Oral anticoagulation - Warfarin (long term) 

Thrombolysis - tPA

Percutaneous catheter-directed therapy 

Surgical embolectomy 

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TESTE DEIN WISSEN

What is the onset, peak and duration of troponin as cardiac enzyme 

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TESTE DEIN WISSEN

3-12 hours onset 

18-24 hours peak 

Last for 10 days

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TESTE DEIN WISSEN

Management of Pericarditis 

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TESTE DEIN WISSEN

NSAIDS 

Colchicine - reduce recurrence 

Steroid if failed 

Percutaneous drainage with imaging if tamponade 

Lösung ausblenden
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Q:

Complication of myocardial infarction 

A:

Dressler's syndrome (Pericarditis, fever, Pericardial effusions) - treat like pericarditis 

Usually weeks or months later 

Q:

What is the onset, peak and duration of LDH as cardiac enzyme 


A:

6 -12 hours onset 

24 -48 hours peak 

Last for 8 days

Q:

Characteristics of oesophageal reflux or spasm 

A:

Could be the same as MI or unstable angina 

but occurs with bending, lifting, straining or lying down 

Q:

Characteristics of praecordial catch syndrome 

A:

Irritation of intercostal nerve

Unilateral low chest pain - 30 seconds to 3 mins 

Aggravated with exertion 

Relieved by taking very slow deep breaths

Self limiting  

Q:

What is the onset, peak and duration of CKMB as cardiac enzyme 


A:

3- 12 hours onset 

18- 24 hours peak 

​Last for 2 days

Mehr Karteikarten anzeigen
Q:

Pharmacological management of post-attack/ low-risk stable angina)

A:

Nitroglycerin (symptom control) 

Long term: 

- Aspirin/ Clopidogrel

- Statins 

- Beta- blockers 

- ACE-i for LV dysfunction pts 

Q:

What investigation to do in stable angina patients 

A:

Exercise ECG


Q:

Characteristics of aortic dissection 

A:

Sudden severe tearing pain in retrosternal and between the scapulae area

Radiates to abdomen, flanks and legs 

Inequality of pulses (carotid, radial, femoral) - radio-radial, radio-femoral delays 

Q:

Characteristic of myocardial infarction/ unstable angina 

A:

Heavy, crushing pain at the retrosternal/ epigastric area 

Occurs at Exertion 

Radiates to the arm or jaw 

Pain lasts for 15-20 mins 

Q:

Management of pulmonary embolism 

A:

Oxygen 

Parental anticoagulation - LMWH, fondaparinux 

Oral anticoagulation - Warfarin (long term) 

Thrombolysis - tPA

Percutaneous catheter-directed therapy 

Surgical embolectomy 

Q:

What is the onset, peak and duration of troponin as cardiac enzyme 

A:

3-12 hours onset 

18-24 hours peak 

Last for 10 days

Q:

Management of Pericarditis 

A:

NSAIDS 

Colchicine - reduce recurrence 

Steroid if failed 

Percutaneous drainage with imaging if tamponade 

Chest pain

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