Stable angina

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Stable angina

Cardiovascular system

Cardiovascular system

Cardiovascular system

Cardiovascular system

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Stable angina

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Stable angina

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Questions

USMLE® Step 1 style questions USMLE

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A 60-year-old man is brought to the emergency department due to chest pain that started suddenly 15 minutes ago while playing with his grandchildren. The patient describes the pain as “pressure and tightness” located in the center of his chest. The patient reports that he occasionally experiences mild chest discomfort when going up the stairs. Medical history is significant for a 30-pack-year smoking history, hypercholesterolemia, and hypertension. The patient is given a sublingual medication while in the emergency department, and the symptoms resolve within a few minutes. Which of the following sets of hemodynamic changes is most likely to be seen in this patient following the administration of this medication?  

*(-) decrease, (0) no effect, (+) increase  

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Acebutolol p. 246

angina and p. 326

Angina

aortic stenosis p. 298

atherosclerosis p. 308

cilostazol/dipyridamole for p. 445

cocaine causing p. 594

contraindicated drugs p. 326, 329

drug therapy for p. 325, 326, 363

glycoprotein IIb/IIa inhibitors for p. 445

ischemic disease and p. 310

presentation p. 716

unstable/NSTEMI treatment p. 316

Intestinal angina p. 395

Angina pectoris

β -blockers for p. 247

Atherosclerosis p. 308

stable angina with p. 310

β -blockers p. 247

angina p. 326

Calcium channel blockers p. 325

angina p. 325

“Intestinal angina p. 395

myocardial O2 consumption/demand p. 292

angina treatment p. 326

Nitroglycerin p. 325

angina p. 310

Stable angina p. 310

Triptans p. 567

angina and p. 310

Variant angina p. 310

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Summary

Stable angina is a type of chest pain related to myocardial ischemia. It usually occurs when the heart muscle is not getting enough blood and oxygen due to atherosclerosis or other causes of narrowing of the coronary arteries. The chest pain is typically brought on by physical activity or emotional stress and does not occur at rest. It is completely relieved by rest or the administration of sublingual nitroglycerine.

Elsevier

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