part 6

Question 1

What is a manifestation of CAD?

Answer 1

Angina or chest pain as a result of myocardial ischemia.

Question 2

What is angina caused by?

Answer 2

decreased supply or increased demand of O2

Question 3

Why does pain radiate down the left arm during angina?

Answer 3

lactic acid is released on the nerve fiber causing the pain to radiate

Question 4

What are the 2 most common types of angina?

Answer 4

• stable

- unstable

Question 5

angina usually intermittent with a consistent: 
pattern
onset
duration
intensity

Answer 5

chronic stable angina

Question 6

How might the pain and discomfort be described with chronic stable angina?

Answer 6

pressure, heavy, squeezing, choking, suffocating, substernal or epigastric discomfort, jaw, shoulder, down the arms
-not sharp or stabbing

Question 7

• pain is short lived (3-15 min) and subsides by relieving the precipitating factor
• pain doesn’t change with position or breathing
• pain at rest is unusual
• possible transient ST segment depression on ECG
• controlled by meds
• take meds when angina is anticipated or at 1st symptom

Answer 7

chronic stable angina

Question 8

What is the chronic stable angina pain assessment?

Answer 8

PQRST
P- precipitating events 
Q- quality of pain 
R- radiation of pain 
S- severity 
T- timing

Question 9

Besides stable and unstable angina what are the 4 additional types of angina?

Answer 9

• silent ischemia
• nocturnal angina
• angina decubitus
• prinzmental’s angina (variant angina)

Question 10

no symptoms, may be DM related (due to neuropathy)

Answer 10

silent ischemia

Question 11

at night, may wake in a panic

Answer 11

nocturnal angina

Question 12

occurs when laying down, relieved by standing or sitting

Answer 12

angina decubitus

Question 13

-spasm of coronary artery related to increased calcium

Answer 13

Prinzmental’s angina (variant angina)

Question 14

How do you treat Prinzmental’s angina?

Answer 14

Ca channel blocker or nitrates