Coronary Artery Disease: Signs and Symptoms Box 20-1 Chest discomfort, including feeling of tightness, aching, and burning Chest pain (angina pectoris) radiating to the arm, jaw, or back Dyspnea (shortness of breath) Palpitations or tachycardia Nausea and vomiting Weakness and inability to complete usual activities without chest pain or dyspnea
Angina Stable angina ◦ Symptoms only appear with activity Acute coronary syndrome: prolonged ischemic symptoms. Umbrella term for: ◦ Unstable angina Symptoms occur even at rest ◦ Myocardial infarction: Non–ST-segment elevation (NSTEMI) ST-segment elevation myocardial infarction (STEMI)
Coronary Artery Disease Diagnosis ◦ EKG, echocardiogram, stress test, angiography Treatment ◦ Low fat diet, weight control, and exercise to reduce cholesterol and triglycerides ◦ Meds: what class for cholesterol? Remember to watch liver enzymes with these meds ◦ Herbs and supplements Garlic Omega-3 fatty acids Fiber Soy See nutritional considerations pg 454
Angina Pectoris Chest pain Occurs d/t decreased blood supply to heart resulting in ischemia. Ischemia causes pain Any activity that increases heart’s workload increases it’s need for oxygen ◦ If coronaries can’t provide enough blood -> angina If cannot control with medication, surgery is next option
Angina Pectoris: Signs, Symptoms, and Diagnosis Pain or discomfort ◦ Dull “pressure” or ache under sternum ◦ Pain that radiates down one or both arms ◦ Sometimes felt between shoulder blades (scapulas) ◦ NOT USUALLY sharp or stabbing Women same as above OR: ◦ No chest pain ◦ Tenderness to the touch or burning/tingling ◦ Indigestion or reflux ◦ Fatigue and shortness of breath
Angina Pectoris: Medical Diagnosis History, clinical signs and symptoms Do rest and nitroglycerin provide relief?
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- Fall '19
- Atherosclerosis, acute myocardial infarction, infarction, Dyspnea