Angina Pectoralis

Question 1

Definition

Answer 1

Intermittent Chest Pain caused by Transient Reversible Myocardial Ischemia

Question 2

Types

Answer 2

1) Stable Angina

• *2) Unstable Angina
  3) Prinzmental Angina**

Question 3

Stable Angina

Answer 3

• Patient has Fixen Coronary Artery (pain associated with Incr. Myocardial Demand)
• Substernal Pain

-Radiation (LA/L. neck)

• At Basal State = Ok
• NG relieves (decr. VR –> decr. Cardiac Work)

Question 4

Unstable Angina

Answer 4

• Increasing Freq + intensity of pain precipitated by progressively less exertion
• more intense + longer lasting than Stable Angina

Cause:

• Disruption of Plaque
• Superimposed Partial Thrombus
• Vasospasm

HARBRINGER OF MORE SERIOUS DISEASE

Question 5

Prinzmental

Answer 5

• Vasospasm of CA (occurs at rest)
• can affect normal vessel
• NG relieves it

Question 6

Causes of CIHD

Answer 6

CIHD: development of ischemia is slower

Cause:
1. Post MI (LVH )

2. HT (LVH)