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Stable angina

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High Yield Notes

2 pages

Flashcards

Stable angina

of complete

Questions

USMLE® Step 1 style questions USMLE

of complete

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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External References

First Aid

2024

2023

2022

2021

Acebutolol p. 244

angina and p. 324

Angina

aortic stenosis p. 296

atherosclerosis p. 305

cilostazol/dipyridamole for p. 442

cocaine causing p. 588

contraindicated drugs p. 324, 327

drug therapy for p. 323, 324, 361

glycoprotein IIb/IIa inhibitors for p. 442

ischemic disease and p. 308

presentation p. 722

unstable/NSTEMI treatment p. 314

Intestinal angina p. 393

Angina pectoris

β -blockers for p. 245

Atherosclerosis p. 305

stable angina with p. 308

β -blockers p. 245

angina p. 324

Calcium channel blockers p. 323

angina p. 323

“Intestinal angina p. 393

myocardial O2 consumption/demand p. 290

angina treatment p. 324

Nitroglycerin p. 323

angina p. 308

Stable angina p. 308

Triptans p. 562

angina and p. 308

Variant angina p. 308

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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.

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