NUR 6111 EXAM 3 CARDIOVASCULAR
1. chronic unstable angina
*Answer√√ chest pain precipitated by exertion and relieved by rest
2. unstable angina and chronic stable angina both result from
*Answer√√ atherosclerotic lesions in the coronary arteries
3. silent myocardial ischemia
*Answer√√ asymptomatic heart disease
occurs when there is objective evidence of increased myocardial oxygen demand
elderly and DM more at risk
increased risk of progressive ischemia, MI and sudden death
4. Microvascular angina
*Answer√√ chest discomfort without angiographic evidence of coronary artery obstruction chest pain that
occurs more unpredictably, sometimes at rest, with physical activity or with stressful events
more intense, lasting for longer periods of time and does not dissipate with rest
,more intense in the post exercise recovery period when the imbalance between oxygen and metabolic demands
persist
crescendo Decresendo pattern that may change over time
extreme tiredness
more common in women, post menopause
5. treatment microvascular angina
*Answer√√ treatment aimed to relieve pain beta blockers prescribed
first
6. what aggravates symptoms of microvascular angina
*Answer√√ long acting nitrates
7. Vasospastic angina
*Answer√√ coronary artery spasm can cause chest discomfort at rest with evidence of transient ST segment
elevation or depression on ECG
,spontaneous, unprovoked
circadian pattern
, hyperventilation may occur prior
smoking is a precipitating RF
8. first line treatment vasospastic angina
*Answer√√ calcium channel blockers
lifestyle modification
9. RF for vasospastic angina
*Answer√√ smoking, hx of migraines, mental stress, alcohol consumption, central nervous system
stimulants, sympathomimetic agents, beta blockers, parasympathometic agents (acetylcholine), ergot alkaloids and
exposure to the cold
10. Stable angina
*Answer√√ symptoms that occur with predictable frequency, severity, duration and provocation
symptoms occur with exertion and are relieved within minutes by rest or nitroglycerin treatment
remains constant unless an acceleration of the disease process occurs
can progress, improve or remain stable for years
1. chronic unstable angina
*Answer√√ chest pain precipitated by exertion and relieved by rest
2. unstable angina and chronic stable angina both result from
*Answer√√ atherosclerotic lesions in the coronary arteries
3. silent myocardial ischemia
*Answer√√ asymptomatic heart disease
occurs when there is objective evidence of increased myocardial oxygen demand
elderly and DM more at risk
increased risk of progressive ischemia, MI and sudden death
4. Microvascular angina
*Answer√√ chest discomfort without angiographic evidence of coronary artery obstruction chest pain that
occurs more unpredictably, sometimes at rest, with physical activity or with stressful events
more intense, lasting for longer periods of time and does not dissipate with rest
,more intense in the post exercise recovery period when the imbalance between oxygen and metabolic demands
persist
crescendo Decresendo pattern that may change over time
extreme tiredness
more common in women, post menopause
5. treatment microvascular angina
*Answer√√ treatment aimed to relieve pain beta blockers prescribed
first
6. what aggravates symptoms of microvascular angina
*Answer√√ long acting nitrates
7. Vasospastic angina
*Answer√√ coronary artery spasm can cause chest discomfort at rest with evidence of transient ST segment
elevation or depression on ECG
,spontaneous, unprovoked
circadian pattern
, hyperventilation may occur prior
smoking is a precipitating RF
8. first line treatment vasospastic angina
*Answer√√ calcium channel blockers
lifestyle modification
9. RF for vasospastic angina
*Answer√√ smoking, hx of migraines, mental stress, alcohol consumption, central nervous system
stimulants, sympathomimetic agents, beta blockers, parasympathometic agents (acetylcholine), ergot alkaloids and
exposure to the cold
10. Stable angina
*Answer√√ symptoms that occur with predictable frequency, severity, duration and provocation
symptoms occur with exertion and are relieved within minutes by rest or nitroglycerin treatment
remains constant unless an acceleration of the disease process occurs
can progress, improve or remain stable for years
