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Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Chest Pain - Diagnosis ... life-threatening causes ... Pulmonary embolism • Cardiac ... Serial troponin; HEART ... MatthewHoMD #Chest
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
performed) • Clinical ... intolerance • Chest ... gallop • Abnormal ECG ... shock, sudden cardiac ... Diagnosis #Management #Cardiology
Tetralogy of Falot on Chest X-Ray
Tetralogy of Falot comprises four defects -
1. Ventricular septal defect (VSD)
2.
Tetralogy of Falot on Chest ... develops after birth Chest ... caused the upturned ... Tetralogy #Falot #Chest ... #XRay #CXR #clinical
Cardiac incisura
Click image to enlarge.
On the right side of the chest the lung will lie against
right side of the chest ... against the anterior chest ... wall, since the heart ... be seen on many chest ... #Clinical #Radiology
Pericardial Tamponade
Beck's Triad 
1. Hypotension 
2. Jugular venous distension 
3. Muffled heart sounds 
Patient will be
Muffled heart sounds ... of dyspnea and chest ... paradoxus - ECG ... #Pericardial #Cardiac ... Triad #Diagnosis #Cardiology
Atrial Fibrillation Overview

Symptoms:
Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope.

1. Why?
Cardiac:
• Valvular heart disease
•
exercise intolerance, chest ... Cardiac: • Valvular ... heart disease ... • Structural heart ... #Fibrillation #Cardiology
Calcifications Around the Heart on Chest XRay
Case #1: This appearance is typical of pericardial calcification &
Calcifications Around the Heart ... on Chest XRay Case ... Calcifications #Heart ... #Chest #XRay #CXR ... #clinical
Hypotension - Guidelines for Crises in Anaesthesia

Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
Breathing • Check chest ... rate, rhythm, perfusion ... • If heart rate ... • If heart rate ... Diagnosis #Management #Workup
Chest Pain / ACS Evaluation Algorithm
Algorithm that attempts to the use history taking (guided by LRs),
Chest Pain / ACS ... classification, and the HEART ... (+LR 2.6) - Cardiac ... factors Calculate a HEART ... diagnosis #Algorithm #cardiology
Supraventricular tachycardia (SVT) is an abnormally fast heart rhythm arising from improper electrical activity in upper
abnormally fast heart ... upper part of the heart ... of breath, or chest ... #Clinical #MedStudent ... #Cardiology #EKG