Angina: The Daily PANCE Blueprint

Home Angina: The Daily PANCE Blueprint

Angina: The Daily PANCE Blueprint

Which of the following best characterizes unstable angina?

A. ST-segment elevation and elevated cardiac enzymes
B. Myocardial infarction with complete coronary artery occlusion
C. Chronic, predictable chest pain relieved by rest
D. Chest pain at rest with normal cardiac markers and no ST elevation
E. Chest pain that occurs only with significant physical exertion and is relieved by nitroglycerin

Answer and topic summary

The answer is D. Chest pain at rest with normal cardiac markers and no ST elevation

Unstable angina is defined as myocardial ischemia that does not cause an elevation in cardiac markers or ST elevation on EKG. It can be either angina at rest, new-onset angina, or severe/persistent/or worsening angina. It typically occurs due to partial occlusion of one of the coronary arteries. Management includes statins, beta-blockers, ACE inhibitors, pain management, and antiplatelet therapy. More invasive management (e.g., stent placement) depends on the TIMI score and risk stratification.

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Smarty PANCE Content Blueprint Review:

Covered under ⇒ PANCE Blueprint Cardiology => Angina pectoris (PEARLS)

Also covered as part of the Emergency Medicine EOR and Internal Medicine EOR topic lists

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