Archive for the ‘Chest Pain (Angina)’ Category

Prevention of Coronary Artery Disease

Primary Prevention
Efforts to lower risk of coronary artery disease (CAD) by risk factor modification before clinical manifestations of CAD appear

Secondary Prevention
Efforts to lower risk of repeat CAD event in patients who have already developed clinical manifestation of CAD (e.g., angina, myocardial infarction, etc.)
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Unstable Angina

Description

Unpleasant chest discomfort, commonly substernal and often described as heaviness or squeezing.  This discomfort can be felt anywhere from epigastrium to pharynx, arm(s), neck or back.  Occurs unpredictably at rest or in a sharply and abruptly worsening pattern compared to stable angina.  Dyspnea may accompany chest discomfort or occur alone.  The episodic duration of unstable anginal attacks generally are 20 minutes or less; an attack greater than 30 minutes is suggestive of myocardial infarction.
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Stable Angina Pectoris

Description

Unpleasant chest discomfort, commonly substernal and often described as heaviness or squeezing sensation.  This discomfort can be felt anywhere from epigastrium to jaw, arm(s), neck, or back.  Dyspnea may accompany chest discomfort or occur alone.  It can be provoked by exertion or emotional upset, relieved within minutes by rest.
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Acute Myocardial Infarction

Description

Acute myocardial infarction is referred to as the clinical syndrome of ischemic myocardial necrosis.  The amount of necrosis is variable depending on the quantity of myocardium affected and duration of ischemia, collateral blood supply, and onset of symptom-to-treatment time.  Needless to say, treatment should be administered within the first few hours to help avoid post-infarct complications.
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