Cardiac Evacuation Questionnaide
Name of life to be Assured
proposal Ho
Is therre a history of Chest Pain
s. Please describe the initial & Asoole
and including
0
a nature of episode
6 sate
C) duration of acutee pisodes
ICO Date of Return to Normalactivities
3. Please give date and results on of
Cory
Irrestigations performed. ie Resting)
Exercise ECGs Candiac Enzymelerols,
isotofe imaging angiography etc
if the History is one of angina
Pectoris kindly describe the symptoms
in term of severity durres hen Response
To treatment
Answers
sorry answer nhi pta sorry
Answer:
Explanation:Chest pain: What every physician needs to know.
The evaluation and management of the patient with chest pain syndrome is a diagnostic challenge to all who practice emergency medicine. “Chest pain syndrome” is inclusive of symptoms that may be caused by acute myocardial ischemia and includes such diverse complaints as chest pain, chest pressure, neck pain, jaw pain, shoulder pain, epigastric pain, back pain, palpitations, dyspnea, cough, nausea, weakness and malaise, or dizziness.
In the U.S. alone, over 5 million patients present to the emergency department (ED) with the chief complaint of “chest pain,” the majority of whom are found to have a noncardiac cause for their symptoms (over 55%). The proportion of patients with other complaints who subsequently prove to have an acute coronary syndrome (ACS) is certainly much lower, but knowledge of this may only add to the concerns of the clinician determined not to overlook a case amongst the vast number of candidates
In fact, over 5% of all ED visits are due to chest pain-related complaints. Despite significant investigation into risk stratification scores and a multiplicity of proposed diagnostic algorithms and testing strategies, upwards of 2% of chest pain syndrome patients will be discharged home and be subsequently diagnosed with an acute myocardial infarction within 1 week. For this reason, patients who present to the ED with the complaint of “chest pain” or related complaints should receive triage priority with minimal time delay to evaluation and 12-lead electrocardiography.
The differential diagnosis of chest pain syndrome is broad and disparate, including disease processes that range from nonurgent to life threatening. Furthermore, within the consideration of life-threatening causes, patients may be suffering from coronary causes, as well as pulmonary embolism, aortic dissection, aortic rupture, pneumothorax, or even esophageal rupture. There are many other diagnoses that are much less time critical, but as diverse as widely as musculoskeletal pain, zoster, pleurisy, pneumonia, or gastroesophageal reflux. Treating all these patients as time critical is necessary until emergent causes of chest pain are excluded.