Unstable angina: Difference between revisions
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==Background== | |||
==Clinical Features== | |||
*[[Chest pain]] | |||
==Differential Diagnosis== | |||
{{Chest Pain DDX}} | |||
==Diagnosis== | ==Diagnosis== | ||
Angina is considered unstable with 1 or more: | Angina is considered unstable with 1 or more: | ||
*Occurs for 1st time | |||
*Occurs at rest | |||
*Accelerating frequency or severity | |||
==Treatment== | ==Treatment== | ||
Revision as of 02:01, 30 March 2015
Background
Clinical Features
Differential Diagnosis
Chest pain
Critical
- Acute coronary syndromes (ACS)
- Aortic dissection
- Cardiac tamponade
- Coronary artery dissection
- Esophageal perforation (Boerhhaave's syndrome)
- Pulmonary embolism
- Tension pneumothorax
Emergent
- Cholecystitis
- Cocaine-associated chest pain
- Mediastinitis
- Myocardial rupture
- Myocarditis
- Pancreatitis
- Pericarditis
- Pneumothorax
Nonemergent
- Aortic stenosis
- Arthritis
- Asthma exacerbation
- Biliary colic
- Costochondritis
- Esophageal spasm
- Gastroesophageal reflux disease
- Herpes zoster / Postherpetic Neuralgia
- Hypertrophic cardiomyopathy
- Hyperventilation
- Mitral valve prolapse
- Panic attack
- Peptic ulcer disease
- Pleuritis
- Pneumomediastinum
- Pneumonia
- Rib fracture
- Stable angina
- Thoracic outlet syndrome
- Valvular heart disease
- Muscle sprain
- Psychologic / Somatic Chest Pain
- Spinal Root Compression
- Tumor
Diagnosis
Angina is considered unstable with 1 or more:
- Occurs for 1st time
- Occurs at rest
- Accelerating frequency or severity
Treatment
Same as for NSTEMI