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Angina Pectoris &

Myocardial Infarction

Prepared by:
Miss Arrian Dabu
Angina Pectoris Myocardial Infarction
Definition

Insufficient coronary
blood flow results in Destruction of cardiac
inadequate oxygen tissues due to reduced
supply causing coronary blood flow
intermittent chest pain
Angina Pectoris Myocardial Infarction
Signs and Symptoms

Squeezing, burning,
pressing, choking, aching or
bursting left sternal chest
Lower sternal pain not
pain lasting NOT more than
relieved by rest and
20 mins.
nitroglycerine, characterized
as crushing or excruciating
The client often says, “It
feels like gas or heartburn
or indigestion”
Angina Pectoris Myocardial Infarction
Signs and Symptoms
Nausea and vomiting
Anxiety
Palpitations
Diaphoresis
Diaphoresis
Pallor
Faintness Arrhythmias
Fluctuation of BP Low grade fever
Hypotension/ hypertension
Angina Pectoris Myocardial Infarction
Diagnostic

Troponin I
ECG
(Elevated myoglobin,
(ECG reveals ST
troponin, creatinine
segment depression)
phosphokinase)
Angina Pectoris Myocardial Infarction
Treatment

Administer oxygen
Administer nitroglycerine
sublingually to relieve the Administer Demerol to
pain relieve the pain

Rest Morphine sulfate is the


narcotic drug for a client with
MI
Angina Pectoris Myocardial Infarction
Treatment

Position the client in semi-


fowler’s
Prepare the client for PTCA
(Percutaneous Transluminal
Maintain a diet that is low
Coronary Angioplasty)
fat, low cholesterol and low
sodium
End

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