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Acute Chest Pain: a basic differential diagnosis to consider, and key points

#Chestpain; #STEMI; #NSTEMI; 

Image Source:
Acute Chest Pain ... : a basic differential ... #Chestpain; #STEMI ... ; #NSTEMI; Image ... : A case based clinical
Myocardial Injury Classification
Chronic myocardial injury: Chronic heart failure, Cardiomyopathy, Hypertension, CKD/ESRD
Acute nonischemic myocardial injury:
 - Primary
injury: - Primary cardiac ... - Primary non-cardiac ... illness: Critical ... Classification #diagnosis #cardiology ... #troponemia #NSTEMI
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
women • DDx: Acute ... deWinter T waves - starts ... electrocardiogram #cardiology ... #STEMI #Equivalents ... Interpretation #differential
Acute Coronary Syndrome - Diagnostic Likelihood Ratios for Symptoms and Physical Examination. 

Source:  Does This
Acute Coronary Syndrome ... This Patient With Chest ... : The Rational Clinical ... EBM #Diagnosis #Cardiology ... Atypical #ChestPain #Cardiac
Myocarditis - Diagnosis and Causes
 • Clinical presentation: Pseudo-acute coronary syndrome, Cardiac failure <3 rnonths, Cardiogenic
and Causes • Clinical ... presentation: Pseudo-acute ... coronary syndrome, Cardiac ... Troponin Increases, Cardiac ... Diagnosis #Causes #cardiology
Takotsubo Cardiomyopathy on POCUS

78 year old woman - Acute delirium but complaining of chest pain 
ECG:
year old woman - Acute ... complaining of chest ... leads Cardiac ... POCUS #Ultrasound #Clinical ... Echocardiogram #Cardiology
Acute Coronary Syndrome - Diagnostic Likelihood Ratios for Symptoms and Physical Examination. Source: Fanaroff AC, Rymer
Acute Coronary Syndrome ... This Patient With Chest ... : The Rational Clinical ... EBM #Diagnosis #Cardiology ... Atypical #ChestPain #Cardiac
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
accompanied by chest ... accompanied by chest ... deviation) • Acute ... EKG #diagnosis #differential ... #cardiology #electrocardiogram
ECG of a 55-year-old man who presented to the ER with chest pain 
Computer interpretation: “Nonspecific
to the ER with chest ... classic pattern of Acute ... #Clinical #Cardiology ... #EKG #STEMI #InferoPosterior
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Segment Elevation - Differential ... Diagnosis Framework STEMI ... weeks following an acute ... STElevation #ST #STEMI ... #diagnosis #cardiology