Angina Pectoris Dr. D'Amico Cardioloy

Question 1

temporary ST depression

Answer 1

stabile angina

Question 2

has a high frequency for progression to MI if NOT treated

Answer 2

unstable angina

Question 3

pattern of increased frequency and duration of angina episodes produced by less exertion or at rest

Answer 3

unstable angina

Question 4

chronic pattern of transient angina pectoris precipitated by physical activity or emotional stress

Answer 4

stable angina

Question 5

silent ischemia

Answer 5

asymptomatic episodes of myocardial ischemia detected by EKG or labs

Question 6

ST elevation

Answer 6

Variant angina

Question 7

what patients are at risk for silent ischemia

Answer 7

diabetic patients, elderly women

Question 8

angina typically lass about

Answer 8

2-10 minutes

Question 9

quality for angina

Answer 9

pressure, tightness, squeezing, heaviness burning

Question 10

location for angina

Answer 10

diffuse

Question 11

what are precipitating factors for angina

Answer 11

exertion, cold and stress

Question 12

what are the accompanying symptoms for angina pectoris

Answer 12

S4 gallop, mitral regurgitation mumur during pain

Question 13

levine sign

Answer 13

angina

Question 14

unstable angina duration

Answer 14

10-20 minutes

Question 15

what is the duration for acute MI

Answer 15

greater tahn 30 minutes

Question 16

what are accompany symptoms of MI

Answer 16

unrelieved by nitorglycerin

Question 17

what are associated features of aortic stenosis

Answer 17

late peaking systolic murmur radiating to the carotid arteries

Question 18

qualtiy for pericarditis

Answer 18

sharp pain

Question 19

duration of paricarditis symptoms

Answer 19

hours to days

Question 20

location of “pain” for pericarditis

Answer 20

retrosternal, cardiac apex, may radiate to left shoulder

Question 21

relieved by sitting up and leaning forward and is WORSE when lying down/back

Answer 21

pericarditis

Question 22

tearing, ripping

Answer 22

aortic dissection

Question 23

what is the duration of aortic dissection

Answer 23

abrubt onset, unrelenting

Question 24

what are associated features of aortic dissection

Answer 24

assoc with hypertension
underlying CT tissue disorder
mumur of aortic insufficiency, pericardial rub, pericardial tamponade; loss of peripheral pulses

Question 25

sharp pain with deep breath

Answer 25

pulmonary embolism, pulmonary HTN, pneumonia, or pleuritis, spontaneous pneumothorax

Question 26

duration of pulmonary embolism

Answer 26

abrubt onset, minutes to few hours

Question 27

location of pulmonay embolism

Answer 27

lateral side

Question 28

associated features of a PE

Answer 28

dyspnea, tachpnea, and tachycardia, hypotension

Question 29

location of pain for pulmonary HTN

Answer 29

substernal

Question 30

dyspnea, signs of increased venous pressure, edema, HVD

Answer 30

pulmonary HTN

Question 31

duration for spontaneous pneumothorax

Answer 31

sudden onset, several hours

Question 32

decreased breath sounds

Answer 32

spontaneous pneumothorax

Question 33

worsened by post prandial recumbency; relieved by antacids

Answer 33

esophageal reflux

Question 34

location of pain for reflux

Answer 34

substernal and epigastric

Question 35

duration of pain for reflux

Answer 35

10-60 minutes

Question 36

pressure, tighness, burning

Answer 36

esophageal spasm

Question 37

________can closely mimic angina

Answer 37

esophageal spasm

Question 38

prolonged burning

Answer 38

peptic ulcer

Question 39

relived with FOOd

Answer 39

peptic ulcer

Question 40

prolonged burning and pressure

Answer 40

gallbladder disease

Question 41

reproducible by localized pressure

Answer 41

MSK

Question 42

burning sharp pain with dermatomal location

Answer 42

herpes zoster

Question 43

what are some factors that do NOT favor cardiac causes

Answer 43

sharp, pinching, stabbing or jabbing can be localized using 1 finger less than 15 seconds, more than days (continuously)

Question 44

factors that favor myocardial ischemia/infarction

Answer 44

dull, heavy, full type pressure squeezing, not localized by 1 finger and NOT reproducible by pushing on the chest

Question 45

dull heavy pain that lasts 2-10 minutes

Answer 45

typical angina

Question 46

dull heavy pain that lasts 30 minutes to ours

Answer 46

acute MI

Question 47

unrelieable with nitroglycerin

Answer 47

acute MI

Question 48

MOA of beta blockers

Answer 48

decrease myocardial oxygen demand, decrease contractility and decrease heart rate

Question 49

MOA of orgnanic nitrates

Answer 49

decrease myocardial oxygen demand, and preloab | increase oxygen supply

Question 50

what are the two drug classes that can alter heart rate

Answer 50

beta blockers and calcium channel blockers

Question 51

MOA of ranolazine

Answer 51

decreased late phase inward sodium current