Chest pain or chest discomfort may occur due to some minor illness or may be due to some serous illness, or may be an emergency condition. chest pain Causes of serious chest pain – Acute ischemic heart disease, or aortic coronary syndrome, Aortic dissection, Tension pneumotherix, Pulmonary pneumothorex,...
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Clinical features of Unstable Angina(UA) / NSTEMI — There is chest pain in the substernal lesion or epigastrium radiating to neck, left shoulder and left arm. There is severe discomfort or pain. Anginal equivalents like dyspnoea and epigastric discomfort are also frequently present. There is diaphoresis (increased sweating), pale skin,...
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Management of UA / NSTEMI ,with Anti-ischemic treatment -,uses of Nitrates and Beta adrenergic blockers . Risk stratification and Prognosis Early risk within 30 days for death and new infarction is about 10%. Patients at high risk are age more than 65 years, 3 or more risk factors for CAD, documented...
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Hypertension Hypertension is a serious disease which may be asymptomatic. According to JNC-7 normal blood pressure is 120/80 mmHg and a blood pressure equal to or more than 140 mmHg systolic and 90 mmHg diastolic is hypertension. Etiology is unknown in 90 – 95% cases. Greater than normal tension or...
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Risk factors for adverse prognosis in hypertension with Etiology Non-whites Youth (young) and Males Diastolic blood pressure consistently more than 115 mmHg Smoking and Alcoholism Diabetes mellitus Hypercholesterolemia Obesity End organ damage Cardiac enlargement ECG showing ischemia or LVH with strain pattern MI (myocardial infarction) 9< CHF (heart failure) Eyes –...
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