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14 Cards in this Set

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CARDIAC CHEST PAIN AND ACUTE CORONARY SYNDROME: EM
CARDIAC CHEST PAIN AND ACUTE CORONARY SYNDROME: EM
Define coarctation
a constriction, stricture or stenosis, particularly of the aorta
Define atherosclerosis
irregularily distributed lipid deposits in the intima of large and medium arteries. They provoke fibrosis and calcification.
Define infarction
sudden insufficiency of arterial or veouns blood supply due to emboli, thrombi, vascular torsion or pressure that produces a macroscopic area of necrosis
define palpitations
forcible or irregular pulsation of the heart, perceptible to the pt usually with an increase in frequency or force with or without irregularity in rhythm
Define vegetations
a condition of sluggishness or; a clot, composed largely of fused blood platelets, fibrin and sometimes microorganisms adherent to a diseased heart orifice or valve and initiated by infection of the structure involved
Define hypoxia
deficiency in oxygen supply or availability to tissue
Define Ischemia
oxygen deprivation accompanied by inadequate removal of metabolites due to reduced perfusion
What physiological event(s) causes ACS
secondary reduction in myocardial blood flow due to coronary arterial spasm, disruption of artherosclerotic plaques and platelet aggregation or thrombus formation
Know the risk factors for ASVD: modifiable ones are those we can control eg: diet, non-modifiable are out of our control eg: age
Uncontrolled DM/HTN, smoking, illicit drugs, age, diet, sedentary life style, obesity, hyperlipidemia, fam hx.
Explain how gender, sex, age and diabetes can effect the presntation of a patient with ASVD
Old women with DM are associated with more atypical presentations. Even so, they shouldn't be evaluated differetnly.
Describe the approach to a patient with chest pain and explain why the history is so important to making a diagnosis.
OPQRST of symptoms and activites that precipitate sxs are helpful with a dx
What symptom would make the diagnosis of acute coronary syndrome less likely
Risk factors are only a tool and are poor predictors of cardiac risk in the ED
What are symptoms of ACS
can appear deceptively well without sxs's, uncomfortable, pale, cynotic, SOB, normal or irregular pulse/rate or BP,