DIAG 2725 Heart Class 2 - Angina Pectoris Temporary Oxygen...

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Angina Pectoris Temporary Oxygen deficit in the Myocardium (Myocardial Ischemia) without tissue necrosis. This results from the inability of arteries to increase the blood flow under conditions of increased demand.
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Causes: Coronary stenosis / atherosclerosis. Cardiomegally the coronaries are unable to compensate Aortic valve lesions
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Provocative factors for angina are as follows: Physical, emotional, or psychogenic exertion (Tachycardia) Heavy meal Stress Anemia (lack of oxygenated blood to the heart). Hypoglycemia(glucose starvation to the heart cells makes oxygen transport to the heart cells more difficult). Chronic caffeine use may lead to tachycardia
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Palliative factors for angina are as follows: Rest (decreases the heart rate) Administration of Nitroglycerin tablets ( coronary dilators)
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Signs and Symptoms of Angina Usually occur after exertion and will only go away after the exertion has stopped. Transitional ( temporary )Pain that is deep crushing ,pressure like (steady), and chest tightness and constriction. The pain may often radiate to the a six dermatome region (T1 to T6) and lasts for 1 to 10 minutes. It ay radiate to the jaw ,left shoulder, medial side of the forearm and hand
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Differential Diagnosis for Angina Pectoris Myocardial infarctions Esophageal pain Hiatus hernia Musculoskeletal pain
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Cardiac Risk Factors Gender and Age Family History Lifestyle Personality Hypertension: Diastolic blood pressure of 90 to 105 mm Hg The accepted value for borderline high blood pressure is 140/90, however generally, the higher the blood pressure, the higher the risk.
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DIAG 2725 Heart Class 2 - Angina Pectoris Temporary Oxygen...

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