A 51-year-old male is at the health clinic for an annual physical exam. After walking from the car to the clinic, he developed substernal pain
He also reported discomfort in his left shoulder and his jaw, lasting 2-3 minutes and then subsid-ing with rest. He indicates that this has occurred frequently over the past few months with similar exertion. The nurse suspects he is most likely experiencing:
a. Stable angina
b. Unstable angina
c. Prinzmetal angina
d. Myocardial infarction (MI)
ANS: A
Stable angina is associated with activity and subsides with rest. Unstable angina is a form of acute coronary syndrome that results from reversible myocardial ischemia and occurs at rest. Chest pain that occurs at rest and at night is descriptive of Prinzmetal angina. MI pain does not subside with rest.
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