Which of the following individuals is suffering the effects of acute coronary syndrome (ACS)?
A) A client whose most recent ECG indicates that silent myocardial ischemia has occurred
B) A client who occasionally experiences persistent and severe chest pain when at rest
C) A client who sometimes experiences chest pain when climbing stairs
D) A client who has recently been diagnosed with variant (vasospastic) angina
Ans: B
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The onset of STEMI involves abrupt and significant chest pain. The pain typically is severe, often described as being constricting, suffocating, and crushing. Substernal pain that radiates to the left arm, neck, or jaw is common, although it may be experienced in other areas of the chest and back. Unlike that of angina, the pain associated with MI is more prolonged and not relieved by rest or nitroglycerin. Silent MI, stable angina, and variant, or vasospastic, angina are subtypes of chronic ischemic coronary artery disease.
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