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Saturday, April 24, 2010

Angina

Angina-chest pain

Chronic Stable Angina-caused by myocardial ischemia, usually secondary to CAD. Episodic pain lasting 5-15 min. Provoked by exertion, relieved by rest or nitro

Prinzmetal's Angina-caused by coronary vasospasm. Occurs at rest, triggered by smoking, may occor w/ or w/o CAD.

Unstable Angina-caused by rupture of thickened plaque, exposing thrombogenic surface. Occurs as new-onset angina, increasing frequency, duration or severety, occors at rest or with minimla exertion, refractory to nitro.

Tx: Nitrates

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