Chest Pain

Question 1

Patient c/o “tightness, squeezing, burning, pressure” of the chest that lasted for 10 minutes yesterday until he sat down and it went away. States this is the 3rd time this has happened. . Was this a heart attack? Do you expect any markers to be elevated?

Answer 1

not likely. MI usually lasts for over 30 minutes and is not relieved by resting. Sounds like a little angina pectoris

Question 2

What is the common demographic for Prinzmetal (variant) angina?

Answer 2

Women smokers >50

Question 3

Will cardiac biomarkers be elevated in a patient with unstable angina?

Answer 3

No

Question 4

If chest pain present with a fever, what are you likely causes?

Answer 4

Pericarditis, Myocarditis,

Question 5

A patient with pleuritic chest pain that is greater when laying supine, and relieved with sitting leaning forward

Answer 5

Pericarditis

Question 6

Which type of angina usually presents in the morning and wakes you from sleep?

Answer 6

Prinzmetal (variant)

Question 7

EKG is normal at rest, but during an episode an EKG ST segment depression is visible. What could the causes of this be?

Answer 7

unstable angina or NSTEMI

Question 8

Which valvular problem can present with chest pain?

Answer 8

Aortic Insufficiency/Regurgitation and Stenosis

Question 9

Patient has sudden onset chest pain with dyspnea, stridor, brassy cough, and dysphagia.

Answer 9

Thoracic Aortic Aneurysm