Stable angina: Difference between revisions
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==Clinical Features== | ==Clinical Features== | ||
===Classes (Canadian Cardiovascular Society Classification)=== | ===Classes (Canadian Cardiovascular Society Classification)<ref>Campeau, L. Grading of angina pectoris. Circulation 1976; 54:5223</ref>=== | ||
*Symptoms with prolonged exertion | *Grade I | ||
*Symptoms walking >2 blocks | **Symptoms with prolonged exertion | ||
*Symptoms walking <2 blocks | **No limitation of ordinary activities | ||
*Symptoms with minimal activity or at rest | *Grade II | ||
**Symptoms walking >2 blocks or climbing >1 flight of stairs | |||
**Slight limitation of ordinary activities | |||
*Grade III | |||
**Symptoms walking <2 blocks | |||
**Marked limitation of ordinary activities | |||
*Grade IV | |||
**Symptoms with minimal activity or at rest | |||
**Cannot do any ordinary physical activity without symptoms | |||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
Revision as of 22:26, 4 March 2019
Background
Clinical Features
Classes (Canadian Cardiovascular Society Classification)[1]
- Grade I
- Symptoms with prolonged exertion
- No limitation of ordinary activities
- Grade II
- Symptoms walking >2 blocks or climbing >1 flight of stairs
- Slight limitation of ordinary activities
- Grade III
- Symptoms walking <2 blocks
- Marked limitation of ordinary activities
- Grade IV
- Symptoms with minimal activity or at rest
- Cannot do any ordinary physical activity without symptoms
Differential Diagnosis
Chest pain
Critical
- Acute coronary syndromes (ACS)
- Aortic dissection
- Cardiac tamponade
- Coronary artery dissection
- Esophageal perforation (Boerhhaave's syndrome)
- Pulmonary embolism
- Tension pneumothorax
Emergent
- Cholecystitis
- Cocaine-associated chest pain
- Mediastinitis
- Myocardial rupture
- Myocarditis
- Pancreatitis
- Pericarditis
- Pneumothorax
Nonemergent
- Aortic stenosis
- Arthritis
- Asthma exacerbation
- Biliary colic
- Costochondritis
- Esophageal spasm
- Gastroesophageal reflux disease
- Herpes zoster / Postherpetic Neuralgia
- Hypertrophic cardiomyopathy
- Hyperventilation
- Mitral valve prolapse
- Panic attack
- Peptic ulcer disease
- Pleuritis
- Pneumomediastinum
- Pneumonia
- Rib fracture
- Stable angina
- Thoracic outlet syndrome
- Valvular heart disease
- Muscle sprain
- Psychologic / Somatic Chest Pain
- Spinal Root Compression
- Tumor
Evaluation
Work-up
Evaluation
Angina is considered unstable with 1 or more:
- Occurs for 1st time
- Occurs at rest
- Accelerating frequency or severity
Management
Disposition
See Also
External Links
References
- ↑ Campeau, L. Grading of angina pectoris. Circulation 1976; 54:5223