Chest Pain Intern Bootcamp 2015 Nathan Stehouwer, MD Objectives: At the end of this hour you will be able to… Provide initial evaluation of a patient with chest pain Know where to find key order sets Locate old EKGs List the initial management considerations for life threatening causes of chest pain Recite a few key pieces of Cleveland trivia General approach: First consider these… Acute coronary syndromes Pulmonary embolism Aortic Dissection Pneumothorax Pericarditis with tamponade Esophageal Rupture Then take your time sorting out these Cardiac MI Pericarditis Myocarditis Aortic Stenosis Vasospasm Cocaine chest pain Cardiac syndrome X Stress cardiomyopathy Pulmonary PE PNA Asthma/COPD Acute Chest Syndrome Pleura Pleuritis Pneumothorax Aorta Dissection Perforated ulcer Chest wall Costocondiritis/musculoskeletal Sternitis Tietze syndrome Zoster Esophagus Esophageal Spasm Eosinophilic Esophagitis Esophageal Rupture/Perforation GERD Mediastinum Mediastinitis Mediastinal tumors RUQ pathology Pancreatitis Hepatitis Cholecystitis choledocolithiasis Panic attack Typical vs. Atypical Chest Pain Typical Atypical Characterized as discomfort/pressure rather than pain Time duration >2 mins Provoked by activity/exercise Radiation (i.e. arms, jaw) Does not change with respiration/position Associated with diaphoresis/nausea Relieved by rest/nitroglycerin Pain that can be localized with one finger Constant pain lasting for days Fleeting pains lasting for a few seconds Pain reproduced by movement/palpation Typical vs. Atypical Chest Pain Cayley 2005 Tip: ALWAYS have the patient point to the pain! The 1980 Cleveland Browns were known by what nickname, after winning multiple last-second games? Case 1 You are the orphan intern on Wearn team at 6PM. You are called by the nurse because Ms. Z has developed chest pain. Ms. Z is a 62 yo F with PMHx of CAD s/p remote PCI to the LAD, COPD and right THA 3 weeks ago who was admitted for a COPD exacerbation. What would you do next? Evaluation of Chest Pain Case 1: While on the phone: Ask nurse for most current set of vital signs Ask nurse to get an EKG Obtain the admission EKG from the paper chart or print baseline EKG from museweb Go see the patient! Evaluation of Chest Pain Go to UH Portal->museweb and print out an old EKG for comparison Review prior discharge summaries Extra prior “0” before MRN Quickly review cardiac work up (9 digits total) –echo, stress tests and cath reports Go see the patient! Sign in with: UHHS/username and usual UH system password Evaluation of Chest Pain Once at bedside, determine if patient is stable or unstable Perform focused history and physical exam Read and interpret the EKG. Compare EKG to old EKG if available If patient looks sick, has a convincing story, or has concerning EKG findings, call your senior resident for help/second opinion Write a clinical event note IF THE PATIENT APPEARS UNSTABLE OR VITALS ARE CONCERNING, CALL A CODE WHITE! Toolbox for workup of Chest Pain EKG CXR, unless patient clearly stable, having no dyspnea or desats, and has pain that is clearly musculoskeletal or GI in origin Cardiac biomarkers, if patient has cardiac risk factors or typical story ABG, particularly if dyspneic or having desaturations Therapeutic Trials (if you are not really sure) Angina/ACS: try some sublingual NTG GERD: Ranitidine, Maalox, BMX Anxiety: anxiolytics Costochondritis/MSK Pain: NSAIDs, ketorolac Placement of patient: Telemetry/ICU? Case 1 You go see the patient. She had been feeling better after getting duonebs, but suddenly developed chest pain that is Lsided, 8/10 and worse with breathing. This pain is not like her prior MI. Vital signs: Afebrile, HR 120, BP 110/70, RR 28, O2 sat 89% on 2L (was 95% on RA this morning) Physical exam Gen – in distress, using accessory muscles of respiration Lungs – CTAB, no rales/wheezes Heart – tachycardic, nl s1, loud s2, no mumurs, JVP at clavicle sitting upright. Chest pain is not reproducible Abd – soft, NT/ND, active BS Ext – b/l LEs warm and well perfused SKIN – no rash What would you order next? What is high on your differential? Differential Cardiac MI Pericarditis Myocarditis Pulmonary PE PNA Asthma/COPD Acute Chest Syndrome Pleura Pleuritis Pneumothorax Aorta Dissection Perforated ulcer Chest wall Costocondiritis/musculoskeletal Esophagus Esophageal Spasm Eosinophilic Esophagitis Esophageal Rupture/Perforation GERD Mediastinitis RUQ pathology Panic attack Case 1 Case 1 Modified Wells Criteria Clinical symptoms of DVT (3 points) Other diagnoses less likely than PE (3 point) Heart Rate >100 (1.5 points) Immobilization >/= 3 days or surgery within 4 weeks (1.5 points) Previous DVT/PE (1.5 points) Hemoptysis (1 point) Malignancy (1 point) Interpretation: >6: high 2-6: moderate <2: low Or >4: likely </=4: unlikely Diagnostic approach is simple if you suspect PE… Probability low: obtain D-DIMER If positive: obtain CTPE If negative: PE excluded Probability moderate or high: obtain CTPE Tests for PE DDIMER: 95% sensitive, VERY nonspecific ABG – Elevated A-a gradient fairly sensitive, highly nonspecific EKG – most commonly nonspecific changes (ST/T wave changes, etc) V/Q scan – helpful in patients with HIGH or LOW pretest probabilities in whom a CTPE cannot be obtained (eg CKD) LE Ultrasound: not sensitive to rule out PE CTPE Sensitivity 83% Specificity 96% Moderate - high clinical probability and positive CTPE: 92-96% chance of PE Pro Tip #2 A CT angiogram (important for evaluating for Pulmonary Embolism or Aortic Dissection) requires EITHER: 1) At least a 20G peripheral IV OR 2) A Power injectable central line Case 1 Acute Pulmonary Embolism Management Stabliize patient oxygen Fluids if hypotensive! Anticoagulants Preferred: LMWH or Fondaparinux Enoxaparin 1.5mg/kg daily or 1mg/kg BID Fondaparinux subcutaneous once daily (weight based) Alternative: UFH (IV or SC) – select high intensity protocol Hemodynamically unstable patients High risk of bleeding (reversible) GFR < 30 Can initiate warfarin on same day IVC filter an alternative with mod-high bleeding risk Search “enoxaparin therapeutic” Search “heparin infusion orders” Pearl: If you have a moderate or high suspicion of PE, you can start anticoagulation while awaiting full diagnostic workup PE with hypotension Thrombolysis Administer over short infusion time Catheter based thrombectomy/embolectomy For failure of thrombolysis or likelihood of shock/death before thrombolysis can take effect (hours) Surgical thrombectomy Failure of above therapies Who was the first African-American player to play in the American League, joining the Cleveland Indians in 1947? Larry Doby Case 2 You are the long call intern on Hellerstein and get a call to 67121 at 6:58PM. You have a new patient in the ER, being admitted for ACS rule out. What’s your next move? Evaluation of Chest Pain Call to get report from ED physician about the patient Obtain most recent set of vital signs Ask about EKG and CXR results Ask what meds have been started in ER and how patient responded Case 2 Mr. M is a 67 yo man with of hypertension, dyslipidemia, type II diabetes and coronary artery disease s/p PCI in 2007. He presents with new onset chest pain x 2 hours that is retrosternal, 7/10, associated with nausea and diaphoresis. Began 1 hour ago. Case 2 VS: T 37 HR 108 BP 105/60 RR 20 O2 sat 93% on RA Physical exam: Gen – uncomfortable from active chest pain, diaphoretic Lungs – crackles at bilateral bases Heart – tachycardic, nl s1/s2, no mumurs or rub Rest of the exam benign Next Steps Review EKG Trial SL Nitroglycerin Administer aspirin Review CXR Check Troponin Case 2 Labs CBC wnl RFP wnl Troponin = 0.05 Case 2 Case 2 Diagnosis: UA/NSTEMI EKG changes in Acute Coronary Syndromes: ST elevations ST depressions T wave inversions “pseudonormalization” – inversion of previously inverted T waves when compared with old EKG New conduction block Q waves Importance of serial EKG monitoring: sensitivity of single EKG is only 50% sensitive for acute MI Just a reminder… Don’t freak out! A positive troponin does not necessarily equal ACS Risk Stratification Figure 2. Algorithm for risk stratification and treatment of patients with UA/NSTEMI. Christopher P. Cannon, and Alexander G.G. Turpie Circulation. 2003;107:2640-2645 Copyright © American Heart Association, Inc. All rights reserved. UA/NSTEMI: Initial Management “Stabilize” plaque Dual antiplatelet therapy Plavix load 600mg followed by daily 75mg ASA 324mg chewable, then 81 daily Anticoagulant UF Heparin at low intensity protocol (order under Heparin Protocol) Statin Atorvastatin 80mg Optimize Myocardial O2 supply/demand Control HR -> Short acting metoprolol, can titrate quickly to HR <60 if BP allows. Give 5mg IV, can repeat at 5-15min intervals. Be wary of patients with heart failure! Supplemental O2 if hypoxemic SL nitroglycerin (0.4mg), repeat every 4-5 minutes Morphine if still having active chest pain Case 2 continued You are now the nightfloat intern, and the patient is signed out to you at 10PM. At midnight, you are called for continued chest pain. Improved from admission but still 5/10 severity. Next steps Vitals Repeat EKG Repeat SL nitro Assess patient in person Call your senior! Dose additional morphine start IV nitroglycerin after 3-4 doses of SL nitroglycerin Start 5 mcg/min Increase by 5mcg/min every 20 minutes Floor maximum: 30mcg/min Pearl Inability to ELIMINATE chest pain in a patient with ACS using maximal medical therapy = Urgent call to cardiology for consideration of immediate catheterization Trivia What typical ACS meds should you NOT give this patient? Pearl: Nitroglycerin contraindicated in inferior MI Other contraindications to NG: Preload dependent states Inferior MI Aortic outflow obstruction (HOCM, severe AS) Likelihood of hemodynamic instability HR <50 or >100 SBP<90mmHg or more than 30mmHg below baseline Use of PGE inhibitors What former Cleveland Public Safety Director, famed for bringing Al Capone to justice, has been honored with his own Great Lakes Brewing Co. beer? Case 3 You are called on Hellerstein to admit a 65 yo man for ACS rule out. Mr Q is a gentleman with a history of DMT2, NASH, remote NSTEMI, and HTN presenting with severe retrosternal chest pain. Pain is different than prior MI but is very severe. Radiates to neck. Began 3 hours ago; has subsided slightly but is still 8/10 in severity. You take report, quickly review chart, and go to assess the patient in the ER. VS: T37.1, HR110, BP145/80 in R arm, RR16, Pox 98%RA Focused Exam: GEN: in discomfort but mentating well HEENT mmm, JVP at clavicle CV normal s1/s2, no murmurs PULM ctab, no w/c/r EXTR: cool Bilateral BP: 145/80R, 110/60L EKG identical to previous EKG which you printed from portal Thoracic aortic dissection Diagnosis CT angiography – first line 83-100% sensitive, specificity 87-100% TEE – second line; good for proximal, cannot visualize descending aorta well MRI – useful for surveillance Images: reference.medscape.com rwjms1.umdnj.eduen.wikipedia.org en.wikipedia.org Thoracic aortic dissection Risk Factors Hypertension Atherosclerosis Preexisting aneurysm (known history in 13% of patients) Inflammatory conditions affecting aorta (Takayasu, Giant Cell Arteritis, RA, syphilis) Collagen disorders (Marfan, Ehlers-Danlos) Bicuspid aortic valve Aortic coarctation Turner syndrome History of CABG, AVR, Cardiac Cath High intensity weight lifting Cocaine use Trauma Excluding dissection 96% of patients have at least one of: Abrupt onset thoracic or abdominal pain that is sharp/tearing/ripping Mediastinal widening Variation in pulse or blood pressure >20mmHg between left and right arms D-DIMER has a good negative predictive value in lower risk patients Thoracic aortic dissection Management Type A Surgery! Do not delay surgery, even for LHC Beta blockers, titrate to HR 50-60 (labetalol, esmolol) BP control (nitroprusside) Type B Beta blockers, titrate to HR 50-60 (labetalol, esmolol) BP control – add nitroprusside or similar agent to SBP goal 100-120mmHg Avoid Hydralazine Surgery for those with end organ damage or those who do not respond to medical therapy Watch for hypotension – give fluids if needed, consider tamponade, MI, or rupture as complications if hypotensive What Cleveland DJ coined the term “Rock and Roll” in 1952? Case 4 You are on long call on VA Blue. You are called to admit a 53 yo M from the ED for chest pain and EKG abnormalities PMHx: HTN Dyslipidemia You go see the patient and he tells you that he has had this chest pain for ~2 days, but it has progressively gotten worse. His chest pain is worse with breathing. Case 4 VS: T 37.9 HR 104 BP 140/76 RR 20 O2 sat 95% on RA Physical exam: Gen – in mild distress due to chest pain, leaning forward while in bed Lungs – CTAB Chest wall – no visible rash, chest wall NT to palpation Heart – tachycardic, nl s1/s2, no rub Rest of physical exam benign Labs: WBC = 14, RFP wnl, AMI panel x 1 = negative CXR = negative Case 4 EKG on admission: Case 4 - Pericarditis Refers to inflammation of pericardial sac Idiopathic pericarditis typically preceded by viral prodrome, i.e. flu-like symptoms Classically, patients have sharp, pleuritic chest pain relieved by sitting up or leaning forward Goyle 2002 Differentiation of ST elevations Acute Pericarditis Acute MI Benign Early Repolarization Diffuse ST segment elevation ST elevation in anatomically contiguous leads; possible reciprocal ST depression ST elevation predominant in V2-V5, may be widespread ST elevations concave ST elevations convex ST elevations concave PR depression No PR Depression No PR Depression T waves upright T waves invert as infarction evolves T wave may be inverted J point notching/slurring Goyle 2002 Or, to put it more simply: Scary Not Scary Case 4 - Pericarditis Diagnostic criteria UpToDate 2012 Case 4 – Pericarditis Per 2003 ACC guidelines, all patients diagnosed with pericarditis should receive echocardiogram High risk features: Fever and leukocytosis Cardiac tamponade or a large pericardial effusion Immunosuppressed state Warfarin therapy Acute trauma Failure to respond to NSAIDS Elevated cardiac troponin Case 4 - Pericarditis UpToDate 2012 Who was the first African-American mayor of a major U.S. city, elected by Cleveland in 1967? Case 5 You are VA MICU intern, called to assess Mr. Jones. He is a 55 yro M with COPD admitted for exacerbation. On admission he was given solumedrol, moxifloxacin, scheduled duonebs, and placed on BiPAP due to CO2 retention. He now is complaining of severe R sided chest pain, worse with breathing. Case 5 Case 5 - Pneumothorax Management of Pneumothorax 100% O2 and observation in stable patients for PTX < 3 cm in size Needle aspiration in stable patients for PTX >3 cm Chest tube placement if PTX >3 cm and if needle aspiration fails Chest tube placement in unstable patients Tension Pneumothorax – don’t be afraid! 14G angiocath into 2nd intercostal space in midaxillary line Case 6 45 yo man with 3 days severe gastroenteritis presents with worsening chest pain Pain is 10/10, sharp, retrosternal, constant. On exam, he is tachypneic, tachycardic and hypotensive. Crepitus is palpated over anterior chest wall Esophageal rupture Precipitating events typically with positive intra-esophageal pressure but negative intrathoracic pressure (ie retching) Up to 25% have no history of vomiting May be suggested by subcu emphysema or mediastinal crackling on auscultation but these are insensitive and take >1 hour to develop. Can be noted by medistainal air on CXR but diagnosis is by CT or contast esophogram Esophageal rupture - treatment Antibiotics IV PPI NPO Surgical consultation Drainage of fluid collections Remove necrotic tissue Consideration of surgical or endoscopic repair Pearl Great EKG Practice Site: http://ecg.bidmc.harvard.edu/maven/mavenmain.asp