At rest ok atnormalheartratespatientis asymptomatic

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Unformatted text preview: occlusion at rest OK At normal Heart Rates patient is asymptomatic With increased stress or exercise symptoms occur Angina Pectoris Angina Pectoris Typical Precordia = Epigastrium + anterior lower portion thorax Precordial chest pain ,tightness or discomfort, radiates to arms, shoulders, jaw associated with diaphoresis or nausea perspiration Atypical Acute heart failure, dyspnea, flash pulmonary oedema, sudden death Sudden death uncommon but can occur Angina Pectoris Angina Pectoris Precipitated by the 3 E’s Exertion Emotion Eating Lasts <10­15 mins and relieved by rest arteriole dilator and/or nitroglycerin open BVs Classification of Angina Severity Classification Class l Angina with moderate activity Class lll flight stairs Angina with strenuous or prolonged activity Class ll Jog 1 mile, stop & rest ok Angina with ordinary activity Class lV IV - >75% or a major artery e.g. : i. Left coronary artery LAD septal diagonals doing nothing Circumflex atrial? Canadian...
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