Angina Pectoris - An Approach To Chest Pain & Acute Coronary Syndrome | Stable & Unstable Angina |

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  • čas přidán 2. 12. 2020
  • Angina Pectoris - An Approach To Chest Pain & Acute Coronary Syndrome | Stable & Unstable Angina |
    Angina Pectoris and approach to acute coronary syndrome is highly tested topic on usmle step 2 exam and in nursing exams.This video has all the important info that you need to know about stable unstable angina and an approach to chest.Chest pain evaluation has always been a challenging task for students and doctors this video gives you a step wise approach to angina symptoms angina treatment and difference between treatment of STEMI & NSTEMI. STEMI is acute coronary syndrome that shows dead heart tissue and must be dealt immediatly. This video also contains ecg showing stemi nstemi MI courtesy to wikimedia commons.
    In the setting of acute chest pain, the electrocardiogram is the investigation that most reliably distinguishes between various causes. The ECG should be done as early as practicable, including in the ambulance if possible. If this indicates acute heart damage (elevation in the ST segment, new left bundle branch block), treatment for a heart attack in the form of angioplasty or thrombolysis is indicated immediately (see below). In the absence of such changes, it is not possible to immediately distinguish between unstable angina and NSTEMI.
    Imaging and blood tests
    As it is only one of the many potential causes of chest pain, the patient usually has a number of tests in the emergency department, such as a chest X-ray, blood tests (including myocardial markers such as troponin I or T, and H-FABP and/or a D-dimer if a pulmonary embolism is suspected), and telemetry (monitoring of the heart rhythm).
    Combination of troponin levels (less than 5 ng/l) with low TIMI scores can help to predict those with low possibility of myocardial infarction and discharge them safely from the emergency department
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