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78-year old female with crushing central chest pain for 20 minutes…
78-year old female with crushing central chest pain for 20 minutes
Cardiac: non-ischemic
aortic
dissection
Radiates to back
Very sudden onset
Very severe pain, tearing quality
pericarditis
Sharp or stabbing
Not exertional
Present at rest
Worse supine
Respiratory causes
Pulmonary embolism
Pneumothorax
Pneumonia with pleurisy
GI causes
GERD
Burning
Unaffected by respiration
Present at rest
Onset may be when supine
Referred pain from subdiaphragmatic etiology
Peptic ulcer disease
Biliary disease
Pancreatitis
Subphrenic abscess
Diffuse oesophageal spasm
relieved by swallowing (of warm water)
Cardiac: ischemic
stable
angina
Tight or heavy
Onset predictable with exertion
Relieved by rest
Relieved rapidly by nitrates
Not positional
Not affected by respiration
Myocardial infarction (acute coronary syndrome)
Onset at rest
Severe pain
Sweating
Anxiety (angor)
No relief with nitrates
Associated symptoms (nausea and vomiting)
Myocardial infarction
Central chest pain
Subacute onset (minutes)
Severe pain
unstable
angina
episodes of increasing severity and frequency
occurs even on rest
Chest wall pain
Positional
Often worse at rest
Prolonged
Localised
Chest wall tenderness