Stable angina: Difference between revisions
| Line 1: | Line 1: | ||
==Background== | ==Background== | ||
==Classes (Canadian Cardiovascular Society Classification)== | ==Classes (Canadian Cardiovascular Society Classification)== | ||
* | * Symptoms with prolonged exertion | ||
* | * Symptoms walking >2 blocks | ||
* | * Symptoms walking <2 blocks | ||
* | * Symptoms with minimal activity or at rest | ||
==Clinical Features== | ==Clinical Features== | ||
Revision as of 00:12, 27 August 2015
Background
Classes (Canadian Cardiovascular Society Classification)
- Symptoms with prolonged exertion
- Symptoms walking >2 blocks
- Symptoms walking <2 blocks
- Symptoms with minimal activity or at rest
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
Work-up
Evaluation
Angina is considered unstable with 1 or more:
- Occurs for 1st time
- Occurs at rest
- Accelerating frequency or severity