-Ischemic heart and arm pain!

Ischemic heart and arm pain!

You must remember that cardiac ischemic pain may present with shoulder,arm, or forearm pain unassociated with chest comfort..

Local symptoms that aren't affected by movement or palpation of the arm should suggest remote cause e.g cervical spine or Ischemic heart disease.

- Classification of Blood Pressure for Adults According AHA.

Classification of Blood Pressure for Adults According to American Heart Association. 

-Some Tricks in history taking of cardiac patient.

Some Tricks in history taking of cardiac patient.

 Rapidly assess the patient to determine whether the patient in acute distress or life threatening condition which need immediate action , then a comprehensive history is taken.

- Classification of Blood Pressure for Adults JNC 7

Classification of Blood Pressure for Adults According Joint National Committee 7