Ischaemic heart disease

Question 1

two spectrums of associated symptoms of IHD

Answer 1

Stable Ischaemic heart disease: manifests as stable angina, predictable pattern of pain
Acute coronary syndrome: life threatening conditions including unstable angina, NSTEMI, STEMI

Question 2

investigations at presentation

Answer 2

ECG
coronary angiography - contrast dye and radiation exposue, allows follow up with angioplasty and stenting
cardiac stress test
chest x-ray - exclude other differentials eg. pneumothorax or pneumonia
echocardiogram - cardac ultrasound to detect ischaemic changes, note wall or left ventricular function, ejection fraction may be decreased

Question 3

acute anginal chest pain could mimic

Answer 3

acute pericarditis
myocarditis
pericardial effusion
acute bronchitis
pneumonia
pleuritis
pleural effusionn
aortic dissecton
GORD
peptic ulcer disease
oeseophageal motility disorders
costochondritis