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Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
Chest Pain - Differential ... of Chest Pain: ... Pericardium: - Pericarditis ... Costochondritis - Tietze syndrome ... #Causes #Cardiology
Myocarditis - Diagnosis and Causes
 • Clinical presentation: Pseudo-acute coronary syndrome, Cardiac failure <3 rnonths, Cardiogenic
Recent flu-like syndrome ... Paraclinical assessment: EKG ... hypokinesia, associated pericarditis ... #Causes #cardiology ... #MRI
Pericarditis - Definition and Diagnostic Criteria
Acute Pericarditis 
 • Inflammatory pericardial syndrome to be diagnosed with
Inflammatory pericardial syndrome ... chest pain ... depression on ECG ... #Pericarditis #diagnosis ... #criteria #cardiology
Dressler Syndrome - 
Postmyocardlal Infarctlon syndrome / Postpericardlotomy pericarditis
• Occurs 2 -10 weeks post myocardial infarction
Dressler Syndrome ... Postpericardlotomy pericarditis ... low-grade fever • Chest ... pleuritic) • Pericarditis ... #Diagnosis #Cardiology
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Cardiovascular MRI ... intolerance • Chest ... pain, pericarditis ... gallop • Abnormal ECG ... #Management #Cardiology
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
becoming acute anterior ... wall MI — 'widow ... period without chest ... #ECG #Electrocardiogram ... #Diagnosis #Cardiology
Pericarditis can be seen on EKG with diffuse ST elevations without reciprocal changes along with diffuse
Pericarditis can ... be seen on EKG ... often follows a URI ... in refractory cases ... #Cardiology #Diagnosis
Causes of Acute Pericarditis:

Infectious;

Viral: 
Adenovirus 
Coxsackie virus A and B 
Echovirus 
Epstein-Barr virus 
Hepatitis 
Human immunodeficiency
Causes of Acute ... esophageal perforation. chest ... injury Blunt chest ... Rheumatic fever #Causes ... Differential #Diagnosis
Chest Pain - Differential Diagnosis Algorithm
Cardiovascular Causes:
 - Outflow Obstruction
     • Aortic
Chest Pain - Differential ... Aneurysm • Pericarditis ... Pulmonary Embolism (chest ... Hypertension - Chest ... ChestPain #Noncardiac #Cardiology
ECG characteristics of early repolarization
 - The ST segment elevations are concave and most pronounced in
pronounced in the chest ... occur on the same ECG ... In case of chest ... #Diagnosis #Cardiology ... #EKG #ECG #Early