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Chest Pain Management
Chest Pain Management
Chest Pain Management
Chest Pain Management
Chest Pain Management
Chest Pain Management
Chest Pain Management
Chest Pain Management
Chest Pain Management
Chest Pain Management
Chest Pain Management
Chest Pain Management
Chest Pain Management
Chest Pain Management
Chest Pain Management
Chest Pain Management
Chest Pain Management
Chest Pain Management
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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.

Published in: Health & Medicine
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  • 1. 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
  • 2. By Desun Hospital & Heart Institute, Kolkata CHEST PAIN MANAGEMENT
  • 3. Common Causes of Chest Pain <ul><li>CARDIAC </li></ul><ul><ul><li>Angina-stable or unstable </li></ul></ul><ul><ul><li>Acute myocardial infarction </li></ul></ul><ul><ul><li>Pericarditis </li></ul></ul><ul><ul><li>VASCULAR </li></ul></ul><ul><ul><li>Aortic dissection </li></ul></ul><ul><ul><li>Pulmonary embolism </li></ul></ul><ul><ul><li>PULMONARY </li></ul></ul><ul><ul><li>Pleuritis </li></ul></ul><ul><ul><li>Spontaneous Pneumothorax </li></ul></ul><ul><ul><li>GASTROINTESTINAL </li></ul></ul><ul><ul><li>GERD </li></ul></ul><ul><ul><li>Peptic Ulcer </li></ul></ul>
  • 4. <ul><ul><li>Gallbladder Disease </li></ul></ul><ul><ul><li>Pancreatitis </li></ul></ul><ul><li>MUSCULOSKELETAL </li></ul><ul><ul><li>Costochondritis </li></ul></ul><ul><ul><li>Cervical Disc Disease </li></ul></ul><ul><li>PSYCHOLOGICAL </li></ul><ul><ul><li>Panic Disorder </li></ul></ul>
  • 5. How to Distinguish Cardiac &amp; Non-Cardiac Chest Pain? <ul><li>Cardiac Chest Pain Symptoms: </li></ul><ul><li>Discomfort occurring centre of the chest. </li></ul><ul><li>Heavy pain, duration up to 30min to 1hour. </li></ul><ul><li>Squeezing. </li></ul><ul><li>Burning Sensation. </li></ul><ul><li>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. </li></ul><ul><li>profuse sweating. </li></ul><ul><li>nausea and vomiting. </li></ul><ul><li>shortness of breath. </li></ul><ul><li>Fainting. </li></ul><ul><li>Cardiac chest pain is not influenced by changes in body position. </li></ul><ul><li>Cardiac chest pain is not exacerbated by respiration. </li></ul><ul><li>Cardiac chest pain is usually described as a dull ache or heaviness; it is seldom characterized as being sharp or stabbing. </li></ul><ul><li>Cardiac chest pain is deep, not superficial. </li></ul>
  • 6. &nbsp;
  • 7. ECG Complex P wave PR Interval QRS complex ST segment T Wave QT Interval RR Interval
  • 8. ECG DIAGNOSIS OF STEMI <ul><li>NEW ST ELEVATION AT J POINT IN TWO CONTIGUOUS LEADS </li></ul><ul><li>CUT OFF POINTS IN V2 V3 : &gt;2mm- men &gt; 1.5 mm – women </li></ul><ul><li>OTHER LEADS : &gt; 1mm </li></ul>
  • 9. &nbsp;
  • 10. &nbsp;
  • 11. <ul><li>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. </li></ul><ul><li>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. </li></ul><ul><li>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. </li></ul><ul><li>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. </li></ul>Signs and Symptoms NONE CHEST PAIN SINGS &amp; SYMPTOMS SHORTNESS OF BREATH HEART ATTACK
  • 12. &nbsp;
  • 13. <ul><li>High blood cholesterol </li></ul><ul><li>High blood pressure </li></ul><ul><li>Smoking </li></ul><ul><li>Obesity </li></ul><ul><li>Lack of physical activity </li></ul>Causes
  • 14. Risk Factors <ul><li>Sex </li></ul><ul><li>Hereditary </li></ul><ul><li>Race </li></ul><ul><li>Age </li></ul>Uncontrollable Controllable <ul><li>High blood pressure </li></ul><ul><li>High blood cholesterol </li></ul><ul><li>Smoking </li></ul><ul><li>Physical activity </li></ul><ul><li>Obesity </li></ul><ul><li>Diabetes </li></ul><ul><li>Stress and anger </li></ul>
  • 15. &nbsp;
  • 16. <ul><li>Blood tests: used to evaluate kidney and thyroid function as well as to check cholesterol levels and the presence of anemia. </li></ul><ul><li>Chest X-ray: shows the size of your heart and whether there is fluid build up around the heart and lungs. </li></ul><ul><li>Echocardiogram: shows a graphic outline of the heart’s movement </li></ul><ul><li>Ejection fraction (EF): determines how well your heart pumps with each beat. </li></ul>Other Tests Include...
  • 17. TREATMENT: ANGIOGRAPHY +VE ANGIOPLASTY --VE ANGIOPLASTY BY PASS SURGERY MEDICAL MANAGEMENT
  • 18. <ul><li>Get regular medical checkups </li></ul><ul><li>Control your blood pressure </li></ul><ul><li>Check your cholesterol </li></ul><ul><li>Don’t smoke </li></ul><ul><li>Exercise regularly </li></ul><ul><li>Maintain a healthy weight </li></ul><ul><li>Eat a heart-healthy diet </li></ul><ul><li>Manage stress </li></ul>PREVENTION

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