Chapter 06, Angina And Silent Ischemia

Front 1

Define Ischemia

Back 1

The lack of blood flow and oxygen to a specific organ or region of the body.

Front 2

Define Angina

Back 2

Symptomatic myocardial ischemia causes discomfort in chest (heavy, squeezing, constricting feelings, retro-sternal and often radiating to shoulders, arms, neck and jaw).

Front 3

What are the 3 types of Angina?

Back 3

1. Stable Angina.
2. Unstable Angina.
3. Variant Angina.

Front 4

What are exercise contraindications to Angina?

Back 4

1. Unstable Angina.
2. Reported Symptoms i.e. 2 or greater on angina scale (1-4)

Front 5

What are the Cautions, Precautions & Special Considerations for Angina and Silent Ischemia?

Back 5

1. Ensure patient understands his/her own angina symptoms before testing/beginning exercise program.
2. Patient should stay below ischemic threshold when exercising.
3. Patient should notify physician if changes in symptoms occurs.
4. Ensure patient has nitro with them (if necessary).
5. Increase warm-up/cool-down periods to try to avoid anginal symptoms.
6. Upper-body exercises increase likelihood of angina greater than lower body exercises.
7. Patient should rest if angina symptoms are 2 or greater.