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Chest Pain Management
 

Chest Pain Management

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Chest pain management by Saikat Banerjee, Sr. Deputy Manager, DESUN Hospital & Heart Institute.

Chest pain management by Saikat Banerjee, Sr. Deputy Manager, DESUN Hospital & Heart Institute.

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    Chest Pain Management Chest Pain Management Presentation Transcript

    • Knowledge sharing slideshows to increase general awareness about common medical procedures and good health guidelines Created and Distributed by All Rights Reserved Public Awareness Program
    • By Desun Hospital & Heart Institute, Kolkata CHEST PAIN MANAGEMENT
    • Common Causes of Chest Pain
      • CARDIAC
        • Angina-stable or unstable
        • Acute myocardial infarction
        • Pericarditis
        • VASCULAR
        • Aortic dissection
        • Pulmonary embolism
        • PULMONARY
        • Pleuritis
        • Spontaneous Pneumothorax
        • GASTROINTESTINAL
        • GERD
        • Peptic Ulcer
        • Gallbladder Disease
        • Pancreatitis
      • MUSCULOSKELETAL
        • Costochondritis
        • Cervical Disc Disease
      • PSYCHOLOGICAL
        • Panic Disorder
    • How to Distinguish Cardiac & Non-Cardiac Chest Pain?
      • Cardiac Chest Pain Symptoms:
      • Discomfort occurring centre of the chest.
      • Heavy pain, duration up to 30min to 1hour.
      • Squeezing.
      • Burning Sensation.
      • Pain may sometimes radiate down the left arm, across the left. shoulder and upper back, or up to the neck and to the lower jaw.
      • profuse sweating.
      • nausea and vomiting.
      • shortness of breath.
      • Fainting.
      • Cardiac chest pain is not influenced by changes in body position.
      • Cardiac chest pain is not exacerbated by respiration.
      • Cardiac chest pain is usually described as a dull ache or heaviness; it is seldom characterized as being sharp or stabbing.
      • Cardiac chest pain is deep, not superficial.
    •  
    • ECG Complex P wave PR Interval QRS complex ST segment T Wave QT Interval RR Interval
    • ECG DIAGNOSIS OF STEMI
      • NEW ST ELEVATION AT J POINT IN TWO CONTIGUOUS LEADS
      • CUT OFF POINTS IN V2 V3 : >2mm- men > 1.5 mm – women
      • OTHER LEADS : > 1mm
    •  
    •  
      • None: This is referred to as silent ischemia. Blood to your heart may be restricted due to CAD, but you don’t feel any effects.
      • Chest pain: If your coronary arteries can’t supply enough blood to meet the oxygen demands of your heart, the result may be chest pain called angina.
      • Shortness of breath: Some people may not be aware they have CAD until they develop symptoms of congestive heart failure- extreme fatigue with exertion, shortness of breath and swelling in their feet and ankles.
      • Heart attack: Results when an artery to your heart muscle becomes completely blocked and the party of your heart muscles fed by that artery dies.
      Signs and Symptoms NONE CHEST PAIN SINGS & SYMPTOMS SHORTNESS OF BREATH HEART ATTACK
    •  
      • High blood cholesterol
      • High blood pressure
      • Smoking
      • Obesity
      • Lack of physical activity
      Causes
    • Risk Factors
      • Sex
      • Hereditary
      • Race
      • Age
      Uncontrollable Controllable
      • High blood pressure
      • High blood cholesterol
      • Smoking
      • Physical activity
      • Obesity
      • Diabetes
      • Stress and anger
    •  
      • Blood tests: used to evaluate kidney and thyroid function as well as to check cholesterol levels and the presence of anemia.
      • Chest X-ray: shows the size of your heart and whether there is fluid build up around the heart and lungs.
      • Echocardiogram: shows a graphic outline of the heart’s movement
      • Ejection fraction (EF): determines how well your heart pumps with each beat.
      Other Tests Include...
    • TREATMENT: ANGIOGRAPHY +VE ANGIOPLASTY --VE ANGIOPLASTY BY PASS SURGERY MEDICAL MANAGEMENT
      • Get regular medical checkups
      • Control your blood pressure
      • Check your cholesterol
      • Don’t smoke
      • Exercise regularly
      • Maintain a healthy weight
      • Eat a heart-healthy diet
      • Manage stress
      PREVENTION