Chest Pain: 10 Common Myths and Mistakes  

Oleh:

Medical Progress (Editor)

Jenis: Article from Bulletin/Magazine - ilmiah internasional
Dalam koleksi: Medical Progress vol. 35 no. 09 (Sep. 2008), page 428.

Ketersediaan

Perpustakaan FK Nomor Panggil: M36.K.2008.02 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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Isi artikel

Atypical clinical presentations in the quality, intensity and radiation of the pain are common in patients with acute coronary syndromes. Womens with an acute myocardial infarction(AMI) are more likely to have atypical symptoms such as dyspnoea than men. A history of acute anxiety or a psychiatric diagnosis does not preclude the possibility af an acute coronary event in a patient with chest pain. The clinical response to a GI cocktail, sublingual mitroglycerin or chest wall palpation does not reliably identify the source of pain. Over- reliance on test with poor sensitivity such as the ECG, or on the initial set of cardiac biomarkers, will miss many patients with MI. Serial troponin levels obtained at 3- to 6-hour intervals are recommended to elevated the extent of myocardial damage. Coronary angiography that detects mild non- obstructive disease does not exclude the possibility of sudden plaque rupture and acute coronary occlusion. .....

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