Acute Coronary Syndrome- Angina Pectoris Flashcards
What is angina pectoris?
Occurs when hearts need for oxygen exceeds its supply;
brief period of Chest pain due to insufficient oxygen to heart tissues
Angina can be a symptom of atherosclerotic coronary artery disease.
What typically triggers angina?
Physical or emotional stress, large meals, or sudden fear
How is anginal pain commonly described?
Crushing, squeezing, or ‘like somebody standing on my chest’
Where is anginal pain usually felt?
Midportion of the chest, under the sternum
What are common radiation sites for anginal pain?
- Jaw
- Arms (frequently the left arm)
- Midportion of the back
- Epigastrium
What is the typical duration of anginal pain?
3 to 8 minutes, rarely longer than 15 minutes
What symptoms may accompany anginal pain?
- Shortness of breath
- Nausea
- Sweating
What usually alleviates anginal pain?
- Rest
- Supplemental oxygen
- Nitroglycerin (NTG)
Does angina pectoris indicate heart cell death?
False
What are the two types of angina?
- Stable angina
- Unstable angina
What characterizes unstable angina?
Chest pain occurs without a significant increase in myocardial oxygen demand
What is the risk associated with untreated unstable angina?
Very high risk of spontaneous AMI
What characterizes stable angina?
Chest pain in response to exercise or activity that increases heart demand
When should EMS be involved regarding angina?
When stable angina becomes unstable or pain persists despite medication
How can angina be confused with AMI?
It can be difficult to distinguish between anginal pain and AMI pain
What should be the initial treatment approach for chest pain?
Treat as if the patient is having an AMI
