General

Medicine
Cardiovascular
 ACS includes
Acute coronary               -unstable angina
syndrome               -Myocardial infarction

(ACS) ( partial or complete obstruction in

Blood vessels supplies heart muscles)
*Signs and symptoms:

-Crushing central -Nausea and -Shortness of breath. -Increased -Low blood pressure.
chest pain,radiating vomiting. respiratory rate.
to left arm or throat.
  Management: 
-Assess CAB
-Sit up position
-Treat : high flow oxygen 15L/min via non breathing
bag.
     sublingual 0.4 mg Nitroglycerine
     Dispersible Aspirin 300mg chewed or dissolved
      ( If MI is suspected)
      Repeat GTN if state is still bad
-Help
-Monitor
-All okay!
Heart failure
-Heart failure occurs when the heart
is unable to pump sufficiently to
maintain blood flow to meet the
needs of the body.
(Cardiac Output and BP are
inadequate for body's requirement.)
Signs and Symptoms: -Shortness of breath in patient sleeps over 3-4 -Shortness of breath awake from sleep with
supine position, pillows. on exertion intense coughing 

Left Heart failure: ( SHORT BREATHING )

 Signs and Symptoms:
Right Heart
failure -Swelling in the legs

(SWELLINGS -liver enlargement

-Ascites
) -Swelling in the ankles
Investigations: 

  -Chest x-ray
  -Echocardiography