Angina pectoris Stable

  • Facts:
    Substernal chest pain secondary to myocardial ischemia
  • History / PE:
    Substernal chest pain that is provoked by exertion and relived by rest or nitrates
  • Diagnosis:
    EKG stress testing
  • Treatment:
    Beta blocker and ASA (only drugs that show mortality benefit)
    CCBs (diltiazem, verapamil)
  • Associated With:
    Coronary artery disease
  • Differential Diagnosis:
    Variant angina (young women, see ST elevation)
    Unstable angina / NSTEMI
    STEMI
  • Risk Factors:
    Smoking
    Dyslipidemia
    Hypertension
    Obesity



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July 27th 2010