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14 Cards in this Set
- Front
- Back
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Chest Discomfort - most common cause, stable
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Angina Pectoris most common cause. Stable angina = reproducible, constant in frequency and severity with fixed CAD.
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Chest discomfort description
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pain, tightness, at mid chest or epigastric area, lasts minutes.
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Chest discomfort: myocardial oxygen demand causes
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hyperthyroidism, tachycardia, htn, pulmonary embolism
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Anginal equivalents
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dyspnea with exertion, abdominal discomfort, fatigue, decreased exercise tolerance
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CCS Classification of Angina Pectoris
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I - only with strenuous rapid or prolonged exertion
II - more than one flight of stairs III - marked limitation IV - cant not carry on any physical activity |
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Dyspnea on exertion:
Accompany Angina Anginal Equivalent Reflect CHF |
SOB on exertion that resolves quickly = accompany
Varies day to day = anginal equivalent Does not recover = reflect CHF |
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Differential diagnosis of Dyspnea
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ischemia heart disease, AS/AI, arrythmias, CHF, MS/MR
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Palpitations
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increased awareness, normal finding, when the palpitations occur during/after exertion only, likely ischemia related ectopy
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Syncope
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indicates increased risk of sudden cardiac death, due to cardiovascular disease or arrhythmia.
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Vasovagal reaction
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a sudden increase in vagal tone accompanied by vascular dilation. can get vasovagal syncope.
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Pulse Rate
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Infant = 100-180
Child = 70-110 Adult = 60-100 |
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Blood Pressure
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Bilateral comparison, increase BP increase cardiovascular risk.
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BP Criteria
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Normal: Sys<120; dias <80
Pre-HTN: Sys120-139; dias 80-89 HTN 1: Sys>140; dias >90 HTN 2: sys>160; dias> 100 |
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Respiration Rates
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Birth 30-60
infant 30-38 child 20-26 adult 15-20 |
