Chest Pain

Question 1

Difference in radiation between angina and pericarditis?

Answer 1

Pericarditis will have pain that radiates to the trapezius muscles

Question 2

What is angina decuibtus?

Answer 2

Pain occurs while the patient is recumbent

Question 3

What is important to inquire for a patient with angina?

Answer 3

Is it occuring with less exertion in the past?
Does it occur at rest?
Does it ever wake you up from sleep?

Question 4

What are the signs of IHD on a CXR?

Answer 4

Cardiac enlargement
Ventricular aneurysm
Signs of heart failure

Question 5

What is Stable Angina?

Answer 5

Myocardial ischaemia –> chest pain
Precipitated by exertion
Relieved by rest

Question 6

What is PRINZMETAL angina?

Answer 6

Angina caused by coronary vasospasm

Question 7

What is coronary syndrome X?

Answer 7

Symptoms of angina but with normal exercise tolerance and normal coronary angiograms

Question 8

Hyperacute T-waves are a sign of?

Answer 8

Appear early in STEMI before ST elevation occurs

Seen in Prinzmetal angina (due to coronary vasospasm)