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Chest Discomfort - Coggle Diagram

- - - - Duration:Suddenly onset
      - Location: Anteriorchest,often radiate to back.
      - Quality:Tearing or ripping knife like pain
        
        CASE 2
      - CT:主動脈假腔
      - Risk factor:Underlying connective tissue disease
      - ECG:無急性缺血、損傷或心肌梗塞症狀
    - - Duration:Often exertional
      - Location:Substernal
    - - Quality
      - Duration：Sudden onset
      - Location
      - Association features：Dsypnea,tachypnea,
  - - - onset：運動、寒冷、壓力、2~10分鐘
      - Quality:壓痛，喘不過氣
      - 其他:休息/使用NTG後改善
    - - onset:可能在休息時發生，持續時間更長、嚴重
      - 其他:休息/使用NTG無法有效緩解
      - Quality: 像小孩子壓在胸口上、
        呼吸困難、心悸、盜汗
        
        CASE 1
      - 危險因子:糖尿病、高血脂、曾有胸痛病史
    - - EKG:lead2,lead3,avf→ST elevation
      - 血管攝影：阻塞
      - CK-MB上升
      - AV block
- - - - Associated features:Vomiting
    - - Quality:Burning
      - Associated features:食物或制酸劑緩解
    - - Quality:Pressure/Tightness/Burning/Squeezing
      - Associated features:可能與angina相似
    - - Quality:Aching/Colicky
      - Location:Epigastric/右上腹/有時候背部
    - - Location:Substernal/Epigastric
      - Associated features:躺臥易發生/心電圖無明顯異常
        
        CASE 3
      - Quality:Burning