Coronary Heart Disease: The Daily PANCE Blueprint

Home Coronary Heart Disease: The Daily PANCE Blueprint

Coronary Heart Disease: The Daily PANCE Blueprint

A 55-year-old male with a history of tobacco abuse, type 2 diabetes mellitus, and hypertension presents to the ER complaining of new-onset chest pain. He describes the pain as sub-sternal and “pressure-like.” Troponin is negative. EKG revealed no acute changes. What is the most likely diagnosis?

A. Stable angina
B. Unstable angina
C. STEMI
D. NSTEMI
E. Pericarditis

Answer and topic summary

The answer is B. Unstable angina

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 ⇒ Coronary Heart Disease ⇒ Angina pectoris =>Unstable angina

Also covered as part of the Emergency Medicine Rotation topic lists

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