Ischemic Heart Disease- Angina

Question 1

Types of angina?

Answer 1

Stable angina,

Prinzmetal (variant) angina

Unstable (crescendo) angina

Question 2

stable angina caused by?

Answer 2

atherosclerosis

Question 3

Prinzmetal (variant) angina caused by?

Answer 3

coronary artery vasospasm

Question 4

Unstable (crescendo) angina caused by?

Answer 4

disruption of atherosclerotic plaque with partial

thrombosis in coronary artery

Question 5

ANGINA Pathophysiology?

Answer 5

All types of angina caused by transient ischemia resulting in inadequate myocardial oxygenation

Question 6

stable angina clinical signs?

Answer 6

1. Precordial chest discomfort associated with exertion;
2. pain is relieved by rest and
   nitroglycerin;
3. nonspecific ST-T changes on ECG

Question 7

Prinzmetal angina clinical signs?

Answer 7

1. Episodic chest pain occurring at rest;

2. may see ST elevation on ECG

Question 8

Unstable angina clinical signs?

Answer 8

1. Progressively frequent chest pain initially occurring with activity but later occurring at
   rest;
2. pain takes increasingly longer time to be relieved
3. considered indication for acute MI in near future;
4. may see ST depressions on ECG

Question 9

stable angina treatment?

Answer 9

Nitrates;
β-blockers;
statins;
aspirin

Question 10

Prinzmetal angina treatment?

Answer 10

Vasodilators (nitrates, calcium channel blockers)

Question 11

Unstable angina treatment?

Answer 11

β-blockers; 
statins;
aspirin; 
coronary evaluation with catheterization in near future;
consider heparin treatment

Question 12

Angina pectoris may be clinically silent in?

Answer 12

Diabetes