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5. Clinical manifestation of ischaemic heart disease; in particular compare and contrast the symptoms of stable angina, and acute coronary syndrome.
Stable angina:
Key risk factors include smoking, HTN, hyperlipidaemia, isolated low HDL, diabetes, inactivity, obesity, FHx of CHD, male gender, illicit drug use.
Typical anginal symptoms such as chest discomfort in the setting of exertion or emotional stress relieved by rest or GTN is the predominant clinical presentation.
Normal examination.
ACS:
Refers to STEMI, NSTEMI or unstable angina.
Presence of the same key risk factors as stable angina.
Increasing frequency and severity of chest pain, that occurs at rest.
Retrosternal chest pain radiating to jaw, arm or neck,
Dyspnoea.
S4.
Diaphoresis
Abnormal ECG
Elevated troponin and CK.
     
 
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