Chest pain resulting from inadequate blood flow to heart muscle. Most common cause is
coronary artery disease (CAD). Other causes include anemia, heart failure, abnormal rhythms.
STABLE UNSTABLE VARIANT
ONSET Exertion/Stress Rest/Exertion/Stress Typically at Rest
PREDICTABLE Predictable Unpredictable Unpredictable
DURATION <5 min Up to 30 min Varies
RESOLUTION Rest or Nitro May Resolve with Nitro May Resolve with Nitro
ASSESSMENT DIAGNOSIS INTERVENTIONS
Pain EKG PAIN: provide rest and administer nitro as prescribed
Dyspnea Stress Test O2: provide supplemental oxygen to the patient
Pallor Cardiac Biomarkers 12 LEAD EKG: obtain 12 lead ekg
Sweating Cardiac Cath REST: maintain bed rest to reduce O2 demands
Tachycardia ASSESS: assess vital signs and pain
Syncope
HTN
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