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Angina Pectoris

– A paroxysmal chest pain caused by (ischemia) due to insufficient blood flow to the myocardium.

Risk Factors:

  • Atherosclerosis
  • Hypertension
  • Diabetes Mellitus
  • Cigarette Smoking

Assessment Findings:

There are different types of Angina

  1. Stable angina pectoris- occurs with exertion, it is releieved by rest and does not increase in frequency or severity.
  2. Variant or Prinzmetal angina-  is usually caused by coronary artery spasms.
  3. Silent Angina- is usually asymptomatic myocardial ischemia that is associated with diabetes mellitus and hypertension.
  • usually describes as a (squeezing, heavy discomfort pressure)
  • Pain* is the # 1 symptom.  Substernal pain that can radiate to neck, jaw and back
  • may be relieved by rest.
  • Tachycardia, palpitations

Diagnostic Tests:

  • The ECG will show an ST segment depression and T wave inversion during the anginal pain.
  • The Holter monitor will reveal an ST segment depression and T wave inversion.


  • Hold nitrates if the BP is less than 90 mm Hg.

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