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Coronary Heart Disease Case scenarios
Mr Smith 55yr old Lorry Driver 3-4 weeks history of chest pains, unrelated to exertion except when lifting heavy objects. Anxious re heart What do you do next?
Mr Smith History: Smokes 20/day No exercise Family history of IHD
Mr Smith Obese BMI 32 BP 182/101 CVS otherwise normal What tests do you do now?
Mr Smith - Investigations Bloods: FBC U+Es LFTs Fasting lipids Fasting sugar ECG Follow up?
Mr Smith 6 months later Phones you with chest pain, central and crushing lasting 20 minutes so far Describe your immediate actions
Mr Smith – post MI How will you follow up Mr Smith? What issues will need to be addressed?
Dec 2008, YCH AED (Part 1: ECG questions). A 76 years old lady, with known history of HT, AMI & VF, presented as chest pain for 3 hours. BP 104/71 mmHg.
High blood pressure (hypertension) Deduct 4 years High blood pressure (hypertension) Deduct 4 years High blood cholesterol (LDL) Deduct 1 year High blood.
DR. ZAHOOR 1. A 50 year old man presents to clinic with a complaint of central chest discomfort of 2 weeks’ duration, occurring after walking for more.
Understanding Heart Disease American Heart Association Greater Southeast Affiliate 0.
Case I A 47 old male presents to your office for a yearly checkup. He smokes 40 cigarette/day, and examination detect wheezy chest and bronchospasm. His.
CARDIOVASCULAR DISEASES Heart Attack Definition- is the death of part of the heart muscle caused by lack of blood flow to the heart. A heart attack can.
BY: CRYSTAL GUTIERREZ. Angina is pain and discomfort In the chest area which cause due to blockage in the blood vessel leading to the heart.
Referring in to the Chest pain pathway: The Primary Assessment Dr Ivan Benett 3/22/2011Dr Ivan Benett GPwSI Cardiology.
Group work 5 Hypertension case discussions. Objectives At the end of this session, the trainees should: Be able to explain steps of correct BP measurement.
1 Women & Heart Disease Julia C. Orri, Ph.D. Biol. 330 November 21, 2006.
GOING TO THE DOCTOR Prof. Teresita Rojas González.
Problem Case – ECG and Breathlessness Dr S Chauhan.
Tina Huang. Aimed at people aged 40 – 74 Risk assessment and management programme to prevent or delay the onset of diabetes, heart and kidney disease.
Sharon Marusiak AIM: MarusiakSharon.
o Number one killer in United States o Killed > 1 million men and women in 2010 o Most common form of heart disease is coronary heart disease, which often.
Understanding Your Heart. YOUR HEART HOW DOES IT WORK? WHAT IS CORONARY HEART DISEASE? WHY DOES IT HAPPEN? HOW IS IT TREATED? WHAT CAN YOU DO FOR YOUR.
Ms. Hoffman. Conditions affecting the heart Coronary heart disease Heart attack Congestive heart failure Leading cause of death for men and.
Sudden numbness or weakness of the face, arm or leg, especially on one side of the body Sudden confusion, trouble speaking or understanding Sudden trouble.
Bowel Cancer Awareness Month. Age – Majority of cases occur over age 50 Diet – Diet high in red or processed meat and low in fibre increases risk Lifestyle.
‘Taxi Driver in Pain’ Tiara Gill Carrie Ross Mark Hambly.
Health Education on Heart Diseases Oromo community,Washington,DC May 9,2015 Teshome Geleta Deksissa, M.D.
CARDIOVASCULAR CARE of the OUTPATIENT Diane M. Enzweiler, MSN, ANP-BC St. Elizabeth Physicians: Heart and Vascular.
Heart Disease. Taking Care of your heart There are around 270,000 heart attacks in the UK each year. However medical advances mean that having heart disease.
A Healthy Heart. Cardiovascular Basics What is Cardiovascular Disease? A common term describing a group of diseases that cause a blockage of blood flow,
Treatment of Hypertension
LIFESTYLE INTERVENTION You CAN’T change where you came from…….. You CAN change where you are going……
Dr. David Lyon Clinical Governance Lead Halton PCT GP Affiliate NPDT.
OSCE KWH AED 5th Nov Question 1 A 40 years old man good past health complained of sudden onset of palpitation, with chest discomfort, no syncope.
Transports nutrients and removes waste from the body. Supplies blood and oxygen to the body.
Cardiovascular Diseases and ECG tracings Cardiologist for the day!
CVD MEETING 7/9/01: main topics CV CLINIC WITH SCREEN SHOTS AND AUDIT MANAGEMENT PROTOCOL WITH DRUGS AND RISK CALCULATION CHARTS ASPIRIN AUDIT.
Nurse Co-ordinated Rapid Access Chest Pain Clinic
NYU Medical Grand Rounds Clinical Vignette Krista Michelin MD, PGY-3 March 17, 2010 U NITED S TATES D EPARTMENT OF V ETERANS A FFAIRS.
Ischaemic Heart Disease for the GP Chris Tracey GPVTS.
VAQs Week 33. A 3 month old girl is brought to your emergency department after three days of diarrhoea and vomiting. She appears very unwell and lethargic,
Low-risk Cardiac Patient Case Study Andrew Gerhard, H.BSc(Kin),C.K. Cardiac Rehabilitation Centre Hôpital régional de Sudbury Regional Hospital.
The Macstrak Project ER Case Studies The following is a series of case studies to review different patient types and how they are captured on the form.
Non-communicable Disease Coronary Heart Disease
Heart Conditions. Acute Chest pain Crushing pain Cardiac pain patterns Pain referred to left jaw, shoulder, arm Syncope Excessive sweating Pale skin Difficulty.
Risk Factors for Coronary Heart Disease.. Did you know that…. In the UK, someone has a heart attack every 2 minutes, that’s 260,000 people per year. In.
CVD Epidemiology Case Studies Nathan D. Wong PhD, FACC, Associate Professor and Director, Heart Disease Prevention Program, University of California, Irvine.
Scenario 1Scenario 1 58 year old man 30 minute history of severe chest pain, 10/10, radiating to jaw, not relieved by anything, associated with sweating.
MYOCARDIAL INFARCTION. CASE 1 Mr. A: 38 years old He smokes 1 pack of cigarettes per day He has no other past medical history 8 hours ago, he gets sharp.
Cardiac update for GPs - Chest pain/angina Sanjay Sastry Consultant Cardiologist Royal Bolton Hospital Royal Bolton Hospital Manchester Heart Centre Wigan.
Acute Coronary Syndrome. Acute Coronary Syndrome (ACS) Definition of ACS Signs and symptoms of ACS Gender and age related difference in ACS Pathophysiology.
Coronary Heart Disease Prevalence DR. MOHAMMED O. AL-RUKBAN Assistant Professor Department of Family and Community Medicine College of Medicine, King Saud.
Cardiovascular Disease Risk Stratification
Clinical Correlations The NYU Langone Online Journal of Medicine
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