Initial Assessment and History Taking

• Gather detailed history of the abdominal pain, including duration and triggers.
• Review cardiac history, focusing on the type and treatment of heart block.

Diagnostic Evaluation

• Conduct an ECG to assess current cardiac status.
• Perform abdominal ultrasound or imaging for gastrointestinal causes.
• Consider blood tests for liver function, pancreatic enzymes, and cardiac markers.

Consideration of Cardiac Causes

• Rule out cardiac ischemia or angina as potential causes of abdominal pain.
• Refer to a cardiologist if necessary.

Gastrointestinal and Other Causes

• Evaluate for gastritis, peptic ulcer disease, or gallbladder issues.
• Avoid NSAIDs if cardiac condition is unstable.

Treatment Approach

• Tailor treatment based on diagnosis.
• Prioritize cardiac management if a cardiac cause is suspected.
• Use antacids or proton pump inhibitors for gastrointestinal issues.

Monitoring and Follow-up

• Monitor symptoms and cardiac status closely.
• Schedule follow-ups with primary care and specialists.

Emergency Signs

• Educate on symptoms needing immediate attention, like severe chest pain or shortness of breath.