Chronic Stable Angina Symptoms and Management

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7 Questions

Which of the following statements regarding aldosterone antagonists in acute myocardial infarction (MI) is correct?

Aldosterone antagonists should be considered in patients with an ejection fraction of 40% or less, who are already receiving an ACE inhibitor (or ARB), and have heart failure symptoms or diabetes mellitus.

Which of the following statements regarding statin therapy in acute coronary syndrome (ACS) is correct?

Statins should be initiated within the first 24 hours of an ACS event, regardless of the patient's LDL cholesterol level.

Which of the following statements regarding the use of nitrates in acute coronary syndrome (ACS) is correct?

Short-acting, sublingual nitroglycerin or lingual nitroglycerin spray should be prescribed to relieve anginal symptoms when necessary.

Which of the following statements regarding anticoagulation after myocardial infarction is correct?

Anticoagulation with warfarin or NOACs is indicated in patients with left ventricular thrombus, a history of thromboembolic disease, or chronic atrial fibrillation.

Which of the following statements regarding the management of anginal episodes in acute coronary syndrome (ACS) is correct?

Patients should be instructed to take sublingual nitroglycerin and immediately call for emergency medical services if anginal symptoms persist for more than 5 minutes.

Which of the following statements regarding the diagnosis of acute coronary syndrome (ACS) is correct?

The presence of anginal symptoms, along with ECG changes and/or elevated cardiac biomarkers, is consistent with the diagnosis of ACS.

Which of the following statements regarding the initial management of acute coronary syndrome (ACS) is correct?

Antiplatelet therapy with a P2Y12 inhibitor (such as clopidogrel or ticagrelor) should be initiated as soon as possible in addition to aspirin.

Learn about the chronic and predictable pattern of chest pain associated with chronic stable angina, causes, symptoms, and management strategies such as rest and nitrates. Understand how physical exertion and emotional stress can induce transient myocardial ischemia.

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