CHD SECTION 1 By Samuel Evan Sunarto N 111 13 316

MYOCARDIAL OXYGEN SUPPLY AND DEMAND

PATHOGENESIS OF CHD

CORONARY ANATOMY OF THE HEART

RISK FACTOR CHD

CLINICAL SIGN AND SYMPTOMS OF CHRONIC STABLE ANGINA Symptoms of stable angina are most often predictable. This means that the same amount of exercise or activity may cause your angina to occur. Your angina should improve or go away when you stop or slow down the exercise.

The most common symptom is chest pain that occurs behind the breastbone or slightly to the left of it. The pain of stable angina usually begins slowly and gets worse over the next few minutes before going away.

TYPICALLY, THE CHEST PAIN FEELS LIKE TIGHTNESS, HEAVY PRESSURE, SQUEEZING, OR A CRUSHING FEELING. IT MAY SPREAD TO THE:

1. Arm (most often the left)

2. Back

3. Jaw

4. Neck

5. Shoulder

LESS COMMON SYMPTOMS OF ANGINA MAY INCLUDE:1. Fatigue

2. Shortness of breath

3. Weakness

4. Dizziness or light-headedness

5. Nausea, vomiting, and sweating

6. Palpitation

DIAGNOSTIC TEST USED TO EVALUATE CHD1. Echocardiography

2. Pharmacologic stress test

3. CXR

4. ECG

PHARMACOLOGICAL CLASSES OF TREATMENT TO MANAGE CHRONIC STABLE ANGINA

CHD SECTION 2

CLINICAL SYMPTOM ACS

1. Chest pain (angina) that feels like burning, pressure or tightness

2. Pain elsewhere in the body, such as the left upper arm or jaw (referred pain)

3. Nausea

4. Vomiting

5. Shortness of breath (dyspnea)

6. Sudden, heavy sweating (diaphoresis)

ACS ACCORDING EKG CHANGES

PATHOPHYSIOLOGY UNDERLYING MOST ACS

PHARMACOLOGICAL CLASSES OF TREATMENT TO MANAGE ACUTE ACS

NON-PHARMACOLOGIC TREATMENT OPTION

THANK YOU