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Chestpain

  1. Duration - Myocardial infarction is associated with pain that lasts >20–30 minutes in duration.
  2. Quality
  3. Location
  4. Radiation
  5. Frequency
  6. Alleviating or precipitating factors (especially exercise)
  7. Associated symptoms

DXD for Angina

  • GERD
  • Aortic Disessction
  • S2 split {A2 follows P2}
  • P2 delay - RBBB - Pulmonary Hyperstension - Right Vent Hypertrophy - polumary stenosis
    • P2 before A2 {A2 Delay }
      • LBBB
      • HTN
      • LVH
      • Aortic Stenosis
  • S4 gallop [ LVH, atrilal systole ]
  • S3 gallop {Fluid overload }

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Aortic Dissection

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