Answers 2025-2026 Updated.
Definition of Stable Angina - Answer Short episodes of a reversible chest or arm pain that are
caused by decreased myocardial oxygenation which may be caused by activity, stress, or any
other stimulant that increases the workload of the heart. (EXERTION)
The key is that the chest pain of stable angina is relieved by what? How long that the chest pain
pattern has not changed? - Answer Stable angina relieved by rest or NTG and the chest pain
pattern has not changed in the last 6 weeks.
What are risk factor reduction for angina? - Answer SWABCC: Smoking cessation, weight
control, activity recommendations, blood pressure control, cholesterol management, co-morbid
condition management
Why are beta blockers used in angina? - Answer BB decrease HR and BP, thereby reducing
the myocardial oxygen demand
What is the pharmacologic management for angina? - Answer ASA, ACE-I, CCB or long-acting
nitrates, and BB.
Nitroglycerine (NTG) for episodes of angina.
Annual influenza vaccine is also recommended.
What is unstable angina (Angina Crescendo)? - Answer Unstable angina is severe chest/arm
pain that is longer in duration and may occur at REST.
Unstable angina is a red flag for what? - Answer Increasing risk of a future cardiac event.
Unstable angina is a sign of? - Answer Unstable angina is a sign that cardiac ischemia,
although present, is not to the point of MI and cardiac cellular necrosis can still be prevented.
What does diagnostic testing in angina focus on? - Answer DX testing focuses on risk factor
identification and quantification as well as the need to establish a diagnosis of ischemic heart
disease (IHD).
, True or false? Does tx of angina address both primary and secondary prevention as well as
symptom control? - Answer True
What are some things included in Acute Coronary Syndrome? - Answer MI, post MI,
myocardial ischemia, stable angina, unstable angina, and variant angina.
Per Huddle: STEMI, NSTEMI, & unstable angina
ST elevation means? - Answer Infarction
ST depression means? - Answer Ischemia
Difference in tx with NTG for stable and unstable angina? - Answer Stable: 1 dose SL & if
improvement repeat q 5 min for total of 3 doses. If no improvement after 1st dose, call 911.
Unstable: 1 dose SL & if no relief or worsening of sx, call 911 & take a 2nd dose.
How long is NGT good for and storage recommendations? - Answer NGT is good for up to 6
mo after opening and s/b stored in a dark, dry, place & keep in amber bottle it cam in.
What other meds may possibly be used in angina? - Answer ACE-I, ARBs, BB, CCB, &
anticoagulants.
Symptoms of angina? - Answer Diffuse anterior chest pain that is relieved by NTG, lasts a
short time, or is relieved w/rest.
What causes angina? - Answer Ischemia (the heart needs more blood supply)
Is angina more common in men or women? - Answer More common in men than women
until menopause and then the incidence is equal
Diagnostics for angina? - Answer A stress test or exercise EKG
Can the NP manage both stable and unstable angina? - Answer NP can manage stable angina
but unstable angina should be referred to cardiology.