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Acute Coronary Syndrome (ACS) Algorithm

Satya Patel, MD @SatyaPatelMD

#Acute #Coronary #Syndrome #ACS #Algorithm #Chest #Pain #diagnosis #cardiology
(ACS) Algorithm ... Coronary #Syndrome #ACS ... #Algorithm #Chest ... #Pain #diagnosis ... #cardiology
Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
Diagnosis Framework ... Myocarditis - CAD/ACS ... - Tamponade Pulmonary ... • Alveoli: - CHF ... #Causes #Cardiology
Acute Coronary Syndrome - Diagnostic Likelihood Ratios for Symptoms and Physical Examination. Source: Fanaroff AC, Rymer
Acute Coronary Syndrome ... Source: Fanaroff AC ... This Patient With Chest ... Pain Have Acute ... #Cardiology #ACS
Acute Coronary Syndrome - Diagnostic Likelihood Ratios for Symptoms and Physical Examination. 

Source:  Does This
Acute Coronary Syndrome ... - Diagnostic Likelihood ... This Patient With Chest ... Pain Have Acute ... #Cardiology #ACS
Acute and Chronic Causes of Dyspnea - Differential Diagnosis
Pulmonary/Chest Wall:
 • Acute: Trauma, COPD exacerbation, Asthma
- Differential Diagnosis ... Pulmonary/Chest ... : ACS, Acute decompensated ... CHF, Hypertensive ... Encephalitis • Chronic: ALS
TiMi and GRACE Risk scores for mortality in Acute Coronary Syndrome (ACS). 

Abbreviations: ACS, acute coronary
Coronary Syndrome (ACS ... Abbreviations: ACS ... , acute coronary ... syndrome; Cr, creatinine ... #Diagnosis #Cardiology
Bradycardia - Differential Diagnosis Framework

BRADI Mnemonic
 • BRASH/Hyperkalemia
 • Reduced oxygen/Glucose/Temp
 • ACS
 • Drugs
 •
- Differential Diagnosis ... Glucose/Temp • ACS ... Hyperkalemia Pulmonary ... Chagas disease • Acute ... #causes #cardiology
GRACE-1 Guidelines for Adult Patients with Recurrent Low-Risk Chest Pain

1) Pain > 3 hours - A
Guidelines for Adult ... reasonably exclude ACS ... years - No further diagnostic ... troponin to exclude ACS ... GRACE #Guidelines #cardiology
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
dependent DM ACS ... event, follow ACC ... indication of AC ... one post op Cardiology ... • <12mo since ACS
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Chest x-ray: signs ... (Sens. 81% for acute ... CXR congestion. ... Pharmacology: • ACE ... #management #cardiology