6-month history of exertional chest pain that is relieved by rest = stable angina. Per FA2019, pg. 301--stable angina is usually secondary to atherosclerosis with more than 70% occlusion.
Contrary to what you might think (or at least this is doublethink for me!), plaques that occlude a larger percentage of the lumen are usually older and more stable (i.e. calcified) and this makes them less dangerous. These larger, older occlusions usually have a well-developed fibrous cap that makes them less likely to rupture and cause unstable angina/NSTEMI or STEMI.
B/c this guy has had symptoms that are not increasing in intensity over the past 6 months, he likely has a calcified, lg. plaque.
jdc_mdnice job, further adding NSTEMI is caused by less than 100% obstruction. STEMI= 100% occlusion. For stable angina to present typically you would need at least 70% occlusion for symptoms to emerge. +1
submitted by โwaitingonprometric(264)
6-month history of exertional chest pain that is relieved by rest = stable angina. Per FA2019, pg. 301--stable angina is usually secondary to atherosclerosis with more than 70% occlusion.
Contrary to what you might think (or at least this is doublethink for me!), plaques that occlude a larger percentage of the lumen are usually older and more stable (i.e. calcified) and this makes them less dangerous. These larger, older occlusions usually have a well-developed fibrous cap that makes them less likely to rupture and cause unstable angina/NSTEMI or STEMI.
B/c this guy has had symptoms that are not increasing in intensity over the past 6 months, he likely has a calcified, lg. plaque.