Alexandra Ward, MD, FACC Profile picture
Jul 14, 2018 • 10 tweets • 7 min read Twitter logo Read on Twitter
1/10 What is chest pain? #FITSurvivalGuide #Tweetorial
- "Pain anywhere in the chest" 🤦‍♀️
- Many things cause chest pain
- ❤️ vs ❌❤️
- ❤️ - ischemic vs non ischemic
- Life threatening vs not
2/10 - Common causes of chest pain (by system) #FITSurvivalGuide
- Cardiac
- Pulmonary
- GI
- Infectious
- Psych
- Skin/ soft tissue
3/10 Chest pain- The History! #FITSurvivalGuide
- Going back to medical school 👩‍⚕️👨‍⚕️🥼😷
- The key to figuring out what type of chest pain the patient has!
- Quality, location, radiation, duration, associated symptoms, relieving factors!
4/10 ❤️ Chest pain #FITSurvivalGuide
- Typical vs atypical symptoms
- Again history is 🗝️
- Pain/pressure/tightness
- Some patients will deny chest pain, but endorse pressure
- If prior history of cardiac disease, ask if the symptoms are similar!
5/10 Risk Factors for ❤️ chest pain #FITSurvivalGuide
- ⬆️ age
- Male sex
- FH
- 🚬
- HL
- Obesity
- DM
6/10 ❤️ Chest pain - Women #FITSurvivalGuide
- Often present with atypical symptoms
- Have a high index of suspicion
- Not just anxious!!
- Microvascular angina, MINOCA
7/10 ❤️ Non Ischemic #FITSurvivalGuide
- Pericarditis
- Myocarditis
- Heart Failure
- Stress CM
- MV Disease
8/10 Can't miss chest pain etiologies!! #FITSurvivalGuide
- Aortic Dissection
- PE
- Tamponade
- Esophageal Rupture
9/10 ❌❤️ Chest Pain #FITSurvivalGuide
- Ask about duration/character of pain
- History is 🗝️🔑!!
- Focus on - duration, character, associated symptoms
- Not all chest pain is ❤️!
10/10 Chest pain work up! #FITSurvivalGuide
- EKG (of course!)
- Biomarkers (only if indicated!)
- CTA (PE/dissection)
- ECHO (if indicated)

• • •

Missing some Tweet in this thread? You can try to force a refresh

Keep Current with Alexandra Ward, MD, FACC

Alexandra Ward, MD, FACC Profile picture

Stay in touch and get notified when new unrolls are available from this author!

Read all threads

This Thread may be Removed Anytime!


Twitter may remove this content at anytime! Save it as PDF for later use!

Try unrolling a thread yourself!

how to unroll video
  1. Follow @ThreadReaderApp to mention us!

  2. From a Twitter thread mention us with a keyword "unroll"
@threadreaderapp unroll

Practice here first or read more on our help page!

Did Thread Reader help you today?

Support us! We are indie developers!

This site is made by just two indie developers on a laptop doing marketing, support and development! Read more about the story.

Become a Premium Member ($3/month or $30/year) and get exclusive features!

Become Premium

Don't want to be a Premium member but still want to support us?

Make a small donation by buying us coffee ($5) or help with server cost ($10)

Donate via Paypal

Or Donate anonymously using crypto!


0xfe58350B80634f60Fa6Dc149a72b4DFbc17D341E copy


3ATGMxNzCUFzxpMCHL5sWSt4DVtS8UqXpi copy

Thank you for your support!

Follow Us on Twitter!