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The HEART Score for Chest Pain Patients in the ED

Calculate the HEART Score @ https://www.mdcalc.com/heart-score-major-cardiac-events

#Diagnosis #Management
HEART Score for Chest ... heart-score-major-cardiac-events ... #Diagnosis #Management ... #Cardiology #HEARTScore ... Stratification #ChestPain
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 ... Noncardiac: • Pulmonary ... #Fibrillation #Cardiology ... #Management #Algorithm
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
Multifocal Atrial ... • Hypoxia • Pulmonary ... Tachycardia #MAT #Cardiology ... #Diagnosis #ECG ... #EKG #Management
Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
- Tamponade Pulmonary ... Causes of Chest ... Pain: • Chest ... #Pain #ChestPain ... Diagnosis #Causes #Cardiology
Acute Coronary Syndrome - Diagnostic Likelihood Ratios for Symptoms and Physical Examination. Source: Fanaroff AC, Rymer
Source: Fanaroff AC ... This Patient With Chest ... EBM #Diagnosis #Cardiology ... Typical #Atypical #ChestPain ... #Cardiac
Heart Pressures - Reference Cheat Sheet
Formula Review Guide for Heart pressure American Society of Echocardiography
Pressures - Reference Cheat ... Echocardiography - Right Atrial ... PVR) - Left Atrial ... Pressure #Heart #Cardiac ... Pressures #Formulas #Cardiology
Acute Coronary Syndrome - Diagnostic Likelihood Ratios for Symptoms and Physical Examination. 

Source:  Does This
This Patient With Chest ... EBM #Diagnosis #Cardiology ... Typical #Atypical #ChestPain ... #Cardiac #Predictors
Pericardial Tamponade
Beck's Triad 
1. Hypotension 
2. Jugular venous distension 
3. Muffled heart sounds 
Patient will be
Tamponade Beck's Triad ... of dyspnea and chest ... paradoxus - ECG ... #Pericardial #Cardiac ... #Diagnosis #Cardiology
Transposition of Great Arteries (TGA) on Chest XRay
 - Oval Shaped Cardiac Silhouette 
 - Narrow
Arteries (TGA) on Chest ... - Oval Shaped Cardiac ... - Increased pulmonary ... vasculature - Egg-on-a-string ... CXR #ChestXRay #Radiology
HEART Score allows us to risk stratify low risk chest pain patients and get them out
stratify low risk chest ... heart-score-major-cardiac-events ... #Diagnosis #Cardiology ... Score #RISK #MACE #ChestPain