Angina – Chest Pain – Part 2
A 69 year old male presents to the emergency room complaining of increasingly severe chest pain for the past 2 hours. He has a 45 pack year history of cigarette smoking. Medications include thiazide, captopril and atorvastatin.
- Describe the patient.
- What is the chief complaint and differential diagnosis?
- Describe the blood supply of the heart.
- Normal structure and local regulation
- Ischemia (supply vs demand)
- Describe types of plaque
- Stable plaque (& CPC)
- Unstable plaque (& CPC)
- Describe the clinical-pathologic correlation:
- What next?
- EKG results:
- What is the interpretation and next action? (3)
- Describe the natural history for an acute STEMI (CPC)
- How should the patient be treated?
- Heart, surface anatomy: artery blood supply
- heart, short axis view, regions of arterial supply of blood:
- heart, blood supply at the tissue level:
- heart, long axis view for conduction system and valves