Question

Harry, age 54, comes to your office with waxing and waning ischemic symptoms over a period of days and weeks, an increase in angina while at rest, and transient ST changes on his electrocardiogram. This presentation leads you to believe that he is experiencing:

A. a stroke.B. a myocardial infarction.C. stable angina.D. unstable angina.

Answer 1

The correct answer is B) A Myocardial Infarction.

Step-by-step explanation:

Myocardial infarction (MI) is also known as a heart attack.

It occurs when blood flow decreases or stops to a part of the heart, causing damage to the heart muscle.

The most common symptom is chest pain (angina) or discomfort which may travel into the shoulder, arm, back, neck or jaw.

Coronary heart diseases (CHD) occurs primarily in patients above the age of 40. Younger men and women can be affected too.

Cheers!

Answer 2

The answer is "D"

Unstable angina

Step-by-step explanation:

The clinical presentation of unstable angina may include waxing and waning of ischemic symptoms over a period of days or weeks. It often involves a progressive increase in symptoms in those with previous stable angina, including rest angina, and may include transient ST changes on the electrocardiogram. The differential diagnosis of unstable angina versus ST-segment elevation myocardial infarction (STEMI) versus non- STEMI is confirmed by the elevation of serum

troponin. Important to note is the possibility of acute coronary syndrome without the alteration in

electrocardiographic display.