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6 Cards in this Set

  • Front
  • Back
Clinical features and diognosis of acute coronary syndrome ( unstable angina / NSTEMI ) - symptoms
1. Symptoms
🌹 chest pain / discomfort,
reyrosternal, central or
in the left chest, may
radiate to jaw or down
uppler limb.
🌷 Crushing / pressing /
burning in nature.
🌼 severity variable.
🌸Atypical presentation ;
unexplained fatigue,
shortness of breath,
epigastric discomfort,
nausea, vomiting.
Clinical features and diognosis of acute coronary syndrome ( unstable angina / NSTEMI ) - investigation
🍅 serial EGGs shown : ST segment depression > 0.05 mV . T- wave inversion

🍎 Troponin, cardiac enzymes ( CKMB, AST, LDH )

🍋 Echocardiography

🍐 CXR, FBC, PT, PTT, LFT, creatinine, BUSE, glucose and lipid profile.
suprise
😎
systemic vasoconstrictor
🐱Norepinephrine
🐨Angiotensin II
🐯 Endothelin -1
Systemic vasodilators
🐞Adenosine
🐝 Bradykinin
🐛Prostaglandin
🐌 Nitric Oxide
NYHA classification
Class i - No limitation during ordinary activity

Class ii - Slight limitation during ordinary activity.

Class iii - Marked limitation of normal activities WITHOUT symptoms at rest.

Class iv - Unable to undertake physical activity without symptoms ; symptom may present at rest.