16. LOCATION CENTRAL,
DIFFUSE
PERIPHERAL
LOCALIZED
RADIATION JAW/NECK/SHOULDER/
OCCASIONALLY,BACK,
ARMS.
OTHER OR
NO RADIATION
CHARACTER TIGHTNESS,PRESSURE
SQUEEZING,ACHING
HEAVINESS,BURNING
SHARP
STABBING
CATCHING
PRECIPITATION EXERTION
EMOTION
AFTER MEAL
SPONTANEOUS
NOT RELATED TO EXERTION
PROVOKED BY POSTURE,
RESPIRATION OR PALPATION
RELIEVING
FACTORS
REST
NITRATES
NOT RELIEVED BY REST
SLOW OR NO RESPONSE BY
NITRATES
ASSOCIATED
FEATURES
BREATHLESSNESS,
INDIGESTION
RESP; GIT, OR
PSYCHOLOGICAL
ISCHEMIC CARDIAC PAIN V/S NON-CARDIAC PAIN
21. Clinical Spectrum of Acute Coronary
Syndromes
Stable angina Unstable
angina
Non-STE MI STE MI
Evidence of necrosis None Positive Positive
ECG early
ST-segment
depression
and/or
T-wave inversion
ST-segment
depression
and/or
T-wave inversion
ST-segment
elevation
ECG late No Q No Q Q develops
Duration 2-10 mins 10-20 mins =/>30 mins