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Doctor insights on: Diagnosis Of Acute Coronary Syndrome

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Management of patient with acute coronary syndrome ?

Management of patient with acute coronary syndrome ?

Go to ER: If you suspect acute coronary syndrome in any person, it is important to call 911. 911 during the transport to er will get the patient oxygen and aspirin, sublingual nitro as needed. And er will assess the patient and do appropriate cardiac management. ...Read more

Dr. Creighton Wright
3,975 doctors shared insights

Heart Attack (Definition)

A life-threatening condition in which the blood vessels that supply the heart are blocked so that the heart is no longer ...Read more


Dr. Irv Loh Dr. Loh
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What is acute coronary syndrome myocardial infarction?

Dr. Irv Loh Dr. Loh
3 doctors agreed:
What is acute coronary syndrome myocardial infarction?

Continuum: Both are a result of inadequate blood supply to the heart muscle. Acute coronary syndrome means that the imbalance is sufficient to cause symptoms that prompt aggressive intervention, but may not result in permanent heart damage; a myocardial infarction implies that overt heart damage has occurred, hence positive markers of tissue damage. ...Read more

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What percentage of people with atypical chest pain develop acute coronary syndrome?

What percentage of people with atypical chest pain develop acute coronary syndrome?

Depends: That would depend on age, sex, and risk factors. For example a healthy 28 year old with atypical chest pain is unlikely to have ACS but a female in her 60s with HTN and smoker with a typical chest pain will have a far higher chance. % going from 5 to 30% roughly ...Read more

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How effective is MRI at diagnosing compartment syndrome or chronic exertional compartment syndrome?

How effective is MRI at diagnosing compartment syndrome or chronic exertional compartment syndrome?

Compartment syndrome: is primarily a clinical, rather than an imaging, diagnosis. That said, MRI is very sensitive at detecting signs of compartment syndrome. ...Read more

Dr. Irv Loh Dr. Loh
3 doctors agreed:
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What is the difference between myocardial infarction and a acute coronary syndrome?

Dr. Irv Loh Dr. Loh
3 doctors agreed:
What is the difference between myocardial infarction and a acute coronary syndrome?

Continuum: Both are a result of inadequate blood supply to the heart muscle. Acute coronary syndrome means that the imbalance is sufficient to cause symptoms that prompt aggressive intervention, but may not result in permanent heart damage; a myocardial infarction implies that overt heart damage has occurred, hence positive markers of tissue damage. ...Read more

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Can smoking trigger/increase symptoms of chronic exertional compartment syndrome?

Probably/why risk it: Cecs happens due to reduced blood flow in muscle areas. It happens in physically active people, for whom smoking can rob oxygen and reduce your exercise tolerance. In any person, tobacco exposes you to 50 known carcinogens plus carbon monoxide and other chemicals. Best thing would be not risking any tobacco (and it gets harder to stop as you get older). Free, no-nag help at 800-quit-now. ...Read more

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What is the percentage of successful fasciectomies or fasciotomies for chronic exertional compartment syndrome?

What is the percentage of successful fasciectomies or fasciotomies for chronic exertional compartment syndrome?

Very good: This study has demonstrated that fasciotomy of the anterior compartment, when done with the correct indications, gives excellent relief of chronic anterior leg pain. It is recommended that fasciotomy of the deep posterior compartment include a formal release of the tibialis posterior at the time of decompression. ...Read more

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What is the difference between acute coronary syndrome, unstable angina, and mi?

What is the difference between acute coronary syndrome, unstable angina, and mi?

See below: Acute coronary syndrome or unstable angina usually means chest pain due interruption of blood flow to the heart muscle. Myocardial infarction ( mi) implies damage to the heart muscle due to prolonged interruption of the blood flow to the heart muscle. ...Read more

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What are some uncommon acute coronary syndrome symptoms?

What are some uncommon acute coronary syndrome symptoms?

Can be no symptom: Left elbow pain is an odd one i've seen. Isolated, painless, exertional shortness of breath (dyspnea) is a fairly common but atypical presentation. Pain lasting for hours is very unusual but i've seen it. Painless confusion in the very elderly is another odd presentation that sometimes happens. Strange presentations tend to occur in the very elderly-young people are more typical. ...Read more

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What are the treatments of fascia herniation and chronic exertional compartment syndrome?

What are the treatments of fascia herniation and chronic exertional compartment syndrome?

Myofascial pain: Myofascial pain syndromes arise from chronic inflammation of the fibrous sheaths that attach broad muscle groups to other muscles and bone. They include myofasciitis of the trapezius muscle, lumbodorsal fascia, IT bands and plantar fascia. I have practiced sports and ER med for the SF Giants. Compartment syndrome occurs when swelling in injured muscle constricts blood flow causing death of tissue. ...Read more

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Are symptoms of coronary spasms indicative of a condition or disease?

Are symptoms of coronary spasms indicative of a condition or disease?

Coronary spasm: Cornoary spasm can cause chest pain and heart arrhythmias. It is associated with other things that cause smooth muscle spasm like esophageal spasm as well. ...Read more

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Treatment of acute pancreatitis?

Treatment of acute pancreatitis?

It depends: In acute pancreatitis the basic treatment is resting the pancreas, by limiting intake of food. Also you are given IV fluids and pain medication. If the pancreatitis becomes very severe you may need antibiotics and in rare circumstances surgery. The other thing that is done is investigating the cause in order to prevent future attacks. ...Read more

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How can hypertension causes acute coronary syndrome?

How can  hypertension causes acute coronary syndrome?

Usually not: A hypertensive spell can cause aortic or coronary acute dissection, but commonly atherosclerosis is the cause of heart attacks - acute coronary syndromes. ...Read more

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What is the treatment of child known case of G6bd deficiency diagnosed with kawasaki disease?

What is the treatment of child  known case of G6bd deficiency diagnosed with kawasaki disease?

Complex: Children with Kawasaki disease are treated with IVIG (immunoglobin)and initially, high dose aspirin.Having G6PD deficiency complicates things a bit because high dose aspirin therapy can cause a severe hemolytic anemia. Still, high dose aspirin therapy would more than likely be initiated, but intensely close monitoring for the development of hemolysis would be employed.Stopping the Rx stops hemolys ...Read more

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Describe symptoms/treatments of a mycardial infarction?

Describe symptoms/treatments of a mycardial infarction?

Myocardial infarctio: Usual symptom is unrelenting substernal chest pain with shortness of breath, perhaps lightheaded and nausea. If patient gets promptly to medical care, aspirin, beta blocker, perhaps other platelet inhibitor or thrombolytic agent and other meds; if interventional capable center may rapidly go to cath lab for diagnosis and possible interventional procedure. ...Read more

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Muscle hernia following fasciotomy for chronic exertional compartment syndrome - is treatment necessary? What are risks?

Muscle hernia following fasciotomy for chronic exertional compartment syndrome - is treatment necessary? What are risks?

Depends: It depends on how large it is, whether it causes you pain, and risk of trapping other abdominal organs. Most small ones do not need repair. ...Read more

Cardiac (Definition)

Cardiac translates literally to "heart, " and any place the term is seen, such ...Read more