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Approach to a patient with chest pain presenting in primary care setting DR Ihab Suliman MBBS,MRCP,Diplomate certification Board of Nuclear Cardiology(USA)
Chest Pain ,[object Object],[object Object],[object Object],[object Object]
Life-threatening   Causes of Chest Pain ,[object Object],[object Object],[object Object],[object Object],[object Object]
Investigations ,[object Object],[object Object],[object Object],[object Object]
26 yr old  thin man with sudden onset of severe L sided  sharp chest pain ,tachypnoeic.
[object Object]
65 year old man(H/O DM,HTN) presented with a 1 hour history of severe central crushing chest pain. He is sweaty, clammy and has vomited twice .
65 year old man(H/O DM,HTN) presented with a 1 hour history of severe central crushing chest pain. He is sweaty, clammy and has vomited twice . ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
70 years old male with long history of untreated HTN,nonsmoker came complaining of chest pain migrated to interscapular region & became severe(tearing),SBP 200,ECG mild inferior changes ,[object Object],[object Object],[object Object],[object Object],[object Object]
 
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
TEE of Aortic Dissection & CT aorta
40 years old male finished cardiac evaluation last week   for insurance (every thing is normal) .ate a heavy meal with friends (celebrating).followed by severe vomiting then chest pain.vomitus contains streaks of fresh blood. ,[object Object],[object Object],[object Object],[object Object],[object Object]
A 26 year old woman presented 1 week post delivery of her first baby. She has sharp L sided chest pain and she is short of breath.
[object Object],[object Object],[object Object],[object Object],[object Object]
50 years old female with chronic renal failure,chest pain & dizziness she is hypertensive on lisinopril
[object Object],[object Object],[object Object],[object Object]
26  Old army officer had flu last week,felt chest pain while driving his car,pain increased by deep breath,he has no history of DM or HTN,nonsmoker,lipid profile LDL 2.0 MMMOL/ L
[object Object]
26  Old army officer had flu last week,felt chest pain while driving his car,pain increased by deep breath,ECG after 5 days .
[object Object]
 
 
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]

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Approach To Patient With Chset Pain

  • 1. Approach to a patient with chest pain presenting in primary care setting DR Ihab Suliman MBBS,MRCP,Diplomate certification Board of Nuclear Cardiology(USA)
  • 2.
  • 3.
  • 4.
  • 5. 26 yr old thin man with sudden onset of severe L sided sharp chest pain ,tachypnoeic.
  • 6.
  • 7. 65 year old man(H/O DM,HTN) presented with a 1 hour history of severe central crushing chest pain. He is sweaty, clammy and has vomited twice .
  • 8.
  • 9.
  • 10.  
  • 11.
  • 12.
  • 13. TEE of Aortic Dissection & CT aorta
  • 14.
  • 15. A 26 year old woman presented 1 week post delivery of her first baby. She has sharp L sided chest pain and she is short of breath.
  • 16.
  • 17. 50 years old female with chronic renal failure,chest pain & dizziness she is hypertensive on lisinopril
  • 18.
  • 19. 26 Old army officer had flu last week,felt chest pain while driving his car,pain increased by deep breath,he has no history of DM or HTN,nonsmoker,lipid profile LDL 2.0 MMMOL/ L
  • 20.
  • 21. 26 Old army officer had flu last week,felt chest pain while driving his car,pain increased by deep breath,ECG after 5 days .
  • 22.
  • 23.  
  • 24.  
  • 25.
  • 26.