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SYMPTOMS
& DIAGNOSIS |
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CORONARY ARTERY DISEASE
Acute Coronary Syndrome
Risk Factors
The
risk factors can be both Modifiable as well as Non-Modifiable.
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Symptoms
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Pain
Sensation of pressure or heavy weight on the chest,
feeling of tightness, burning sensation, shortness
of breath with feeling of suffocation.
- Location
Mild anterior chest or Sub Sternal or abdominal with
radiation to neck, back, and arms.
Diffuse pain is also not uncommon. Similar attack
each time with dullness in thoracic area.
- Onset and Duration
Gradual or sudden onset usual duration 15 minutes
or less (not more than 30minutes) relief from rest
or sublingual nitroglycerine.
- Associative Symptoms
Apprehension, Dyspnea, Excessive sweating, unease,
belching, desire to void.
- Precipitating Factors
Stress either physiological (exertion) or psychological,
ingestion of heavy meals, straining at stool, extremes
of weather, hot baths, stimulant like cocaine and
caffeine, cigarette smoking etc.
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| Myocardial Infarction |
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Symptoms
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A typical symptoms Include epigastric
or abdominal distress, dull aching or tingling sensation,
extreme fatigue etc. Other symptoms are pain that usually
lasts longer and does not get relieved by rest.
Pallor, sweating, vomiting, breathlessness, dizziness
may accompany the pain. Chest pain is continuous and is
characterized by sudden onset usually over the sternal
region and upper abdomen. The pain may increase steadily
until it becomes almost unbearable, radiate to shoulder
and arms, may produce anxiety and fear resulting in increased
heart rate, blood pressure and respiration. |
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Treatment
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Medical
Analgesia, thrombolytic or antiplatlet therapy
Vasodilator or beta-blocker
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Interventional
Coronary angioplasty
Surgical
CABG
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