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United States Medical Licensing Examination
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Cardiology 1. Stable Angina Chest discomfort, can be felt in back/arms/jaw/abdm, occurs with stress/ emotional, relief with rest, Dx by stress test. Tx with nitrates, bb, Cabs, heparin, asprin, if 3... vessels or L main do CABG 2. Unstable angina Unpredicatable at rest or abruptly worsening pattern of angina, prolonged duration (>20), Dx by ECG (st depression/t inversion) or catch shows CAD, but negative cardiac markers, Tx with nitrates, cabs, bb, heparin. 3. Variant/Prinzmental Angina Chest pain at rest, ST elevation (note the 3 causes of ST elevation are MI (inferior (LDA) is II, III AVF; lateral (circumflex a) is I, AVL, V5, V6; anterior is V1-V4), pericarditis (difuse, meaning every lead has it), and Variant Angina) with negative markers. Treat with a Ca-channel blockers (Cabs) or nitrates. [Show More]
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