Prinzmetal angina
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Prinzmetal angina
Cardiovascular system
Congenital disorders
Diseases of the myocardium
Diseases of the pericardium
Dysrhythmias
Atrioventricular block
Bundle branch block
Pulseless electrical activity
Atrial fibrillation
Atrial flutter
Atrioventricular nodal reentrant tachycardia (AVNRT)
Premature atrial contraction
Wolff-Parkinson-White syndrome
Brugada syndrome
Long QT syndrome and Torsade de pointes
Premature ventricular contraction
Ventricular fibrillation
Ventricular tachycardia
Heart failure
Hypertension
Hypotension
Infectious, immunologic, and inflammatory disorders
Ischemic heart disease
Shock
Valvular heart disease
Vascular disorders
Cardiovascular system pathology review
Acyanotic congenital heart defects: Pathology review
Cyanotic congenital heart defects: Pathology review
Cardiomyopathies: Pathology review
Pericardial disease: Pathology review
Dyslipidemias: Pathology review
Heart blocks: Pathology review
Supraventricular arrhythmias: Pathology review
Ventricular arrhythmias: Pathology review
Heart failure: Pathology review
Hypertension: Pathology review
Atherosclerosis and arteriosclerosis: Pathology review
Endocarditis: Pathology review
Coronary artery disease: Pathology review
Cardiac and vascular tumors: Pathology review
Valvular heart disease: Pathology review
Aortic dissections and aneurysms: Pathology review
Deep vein thrombosis and pulmonary embolism: Pathology review
Peripheral artery disease: Pathology review
Vasculitis: Pathology review
Shock: Pathology review
Assessments
Flashcards
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USMLE® Step 1 questions
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Flashcards
Prinzmetal angina
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Questions
USMLE® Step 1 style questions USMLE
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A 52-year-old man comes to the clinic due to an episode of chest pain and shortness of breath. The patient describes substernal chest pain that started suddenly when he was walking up the stairs and resolved after a few minutes of rest. Medical history includes type 2 diabetes mellitus and hypercholesterolemia. The patient does not use tobacco, alcohol, or illicit drugs. The patient’s temperature is 36.5°C (97.7°F), pulse is 80/min, respirations are 20/min, and blood pressure is 130/85 mmHg. He does not appear to be in distress. Physical examination shows normal heart sounds with no murmurs or gallops heard on auscultation. Which of the following sets of findings would most likely be seen in this patient if diagnostic investigations had been obtained during the episode of pain?
External References
First Aid
2024
2023
2022
2021
Prinzmetal angina
calcium channel blockers for p. 323
ischemic manifestations p. 308
propranolol adverse effects p. 327
Summary
Prinzmetal's angina is a rare form of angina (chest pain) caused by the vasospasm of the smooth muscle tissue of the coronary artery, leading to reduced blood flow to the heart muscle. Prinzmetal's angina usually occurs at rest, and symptoms include chest pain, pressure or tightness, shortness of breath, sweating, and nausea or vomiting. Treatment options include nitroglycerine and calcium channel blockers.