NSTEMI

Question 1

Absolute contraindication to the use of nitrates

Answer 1

Hypotension
Recent use of PDE-5 inhibitor, sildenafil or vardenafil (w/in 24 hours) or tadalafil (w/in 48 hours)

Question 2

Oral beta blockade targeted to a heart rate of ____

Answer 2

50-60 beats per minute

Question 3

A syndrome of severe ischemic pain that usually occurs at rest and is associated with ST segment elevation. It is caused by focal spasm of an epicardial coronary artery with resultant transmural ischemia and abnormalities in left ventricular function that may lead to acute MI, ventricular tachycardia or fibrillation, and sudden cardiac death.

Answer 3

PRINZMETAL’S VARIANT ANGINA

• Coronary angiography demonstrates transient coronary spasm as the diagnostic hallmark of PVA.

Question 4

The main therapeutic agent for PVA

Answer 4

Nitrates and calcium channel blockers