Unstable angina non ST elevation myocardial infarction chest x-ray

Intern Survival Guide

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Unstable Angina
Non-ST Elevation Myocardial Infarction
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editors-In-Chief: Cafer Zorkun, M.D., Ph.D. [2]; Varun Kumar, M.B.B.S.; Lakshmi Gopalakrishnan, M.B.B.S.

Overview

When suspecting UA/NSTEMI a chest X-ray is critical to aid in the exclusion of aortic dissection. A mediastinal mass seen on x-ray may be consistent with both aortic dissection and cancer, however cancer is unlikely to present with a syndrome of accelerating chest pain. Chest x ray is also used to evaluate other causes of chest pain or discomfort such as pneumonia, pneumothorax, and pulmonary hypertension.

Chest X Ray

Chest X-ray is critical in assessing for the presence of pulmonary edema or congestive heart failure which requires urgent treatment and confers a poorer prognosis.

Chest X-Ray showing Pulmonary Edema: