Focused chest pain assessment

• When should a patient seek medical care for acute chest pain?

  Early Care for Acute Symptoms. Patients with acute chest pain or chest pain equivalent symptoms should seek medical care immediately by calling 9-1-1. Although most patients will not have a cardiac cause, the evaluation of all patients should focus on the early identification or exclusion of life-threatening causes. Section 2.1.4.

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• What is a low risk patient with acute chest pain?

  Low-Risk Patients With Acute Chest Pain Patients with acute chest pain and a 30-day risk of death or MACE

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• Is exercise testing a good first-line test for chest pain?

  For patients with stable chest pain and no known CAD categorized as low risk, exercise testing without imaging is reasonable as a first-line test for excluding myocardial ischemia and determining functional capacity in patients with an interpretable ECG.

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• Should patients with chest pain be included in decision-making?

  Share the Decision-Making. Clinically stable patients presenting with chest pain should be included in decision-making; information about risk of adverse events, radiation exposure, costs, and alternative options should be provided to facilitate the discussion. Section 4.1.7.

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• [PDF File]2021 Guideline for the Evaluation and Diagnosis of Chest Pain

  https://info.5y1.org/focused-chest-pain-assessment_1_4be6fd.html

  Patients with acute chest pain or chest pain equivalent symptoms should seek medical care immediately by calling 9-1-1. Although most patients will not have a cardiac cause, the evaluation of all patients should focus on the early identification or exclusion of life-threatening causes. Section 2.1.4.

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• [PDF File]Acute Chest Pain Care Guide - CCHCS

  https://info.5y1.org/focused-chest-pain-assessment_1_b63c6f.html

  Aug 11, 2021 ·

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• [PDF File]INVESTIGATION AND MANAGEMENT OF CHEST PAIN - Heart

  https://info.5y1.org/focused-chest-pain-assessment_1_4119e0.html

  NON-INVASIVE ASSESSMENT OF CHEST PAIN Adequate history taking is essential to evaluate suspected cardiac chest pain. The priority is to identify ischaemic pain. The core features that diagnose exertional angina are readily accessible from a straightforward assessment of the patient and the pain (table 1).

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• [PDF File]Chest Pain: Outpatient or Inpatient - Veterans Affairs

  https://info.5y1.org/focused-chest-pain-assessment_1_03d48c.html

  Recognize signs and symptoms of acute chest pain S - Perform a focused assessment/LPN collects data. A - Elicit a sense of urgency while maintaining a composed demeanor throughout the scenario . b. S-Obtain a targeted history regarding the acute chest pain c. K-Recognize . deterioration of the patient’s status. d. K-

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• [PDF File]Sample Written History and Physical Examination

  https://info.5y1.org/focused-chest-pain-assessment_1_c61b6f.html

  Assessment and Differential Diagnosis 1. Chest pain with features of angina pectoris This patient’s description of dull, aching, exertion related substernal chest pain is suggestive of ischemic cardiac origin. Her findings of a FH of early ASCVD, hypertension, and early surgical menopause are pertinent risk factors for development

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• [PDF File]Imaging in Chest Pain - ASNC

  https://info.5y1.org/focused-chest-pain-assessment_1_1bbb2e.html

  Clinical Applicability of Imaging for Stable Chest Pain Parameter/ Test Radionuclide MPI Echo Cardiac CT CMR Widespread availability + ± - Type of stress Exercise + + NA NA Vasodilator + NA NA + Dobutamine + + NA + Assessment of coronary flow + NA ±* + Assessment of coronary calcium +/-NA + - Guides therapy + + + + Prognostic value + + + +

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