Angina

Question 1

A PT presents with chest discomfort and it is determined they have a compromised R marginal artery; what cardiac structures will be effected by this?

Answer 1

R lateral side of heart
SA Node
AV Node
Posterior Descending Artery

Question 2

What is an imbalance in the myocardial oxygen supply and demand known as?

Answer 2

ANGINA (myocardial ischemia)

Pre-infarction

Question 3

What are some key clinical S/Sx which would cue you into the diagnosis of Angina?

Answer 3

Px (Referred, chest, jaw, shoulder, back ,arm, or neck)
Dyspnea/SOB
Fatigue
Lightheaded 
Nausea
Diaphoresis
Weakness

Question 4

What differentiates stable angina from unstable angina?

Answer 4

Stable Angina:  
\+PREDICTABLE
\+Follows an event (sex, walking upstairs, stress, cold weather)
\+Same, constant severity
\+Relieved by rest or Nitro

Unstable Angina:

• NEW ONSET
• Increasing severity and duration
• Brought on AT REST or minimal exertion
• Not relieved by typical measures