Rupture lead to exposure of thrombogenic substances (ie. Thrombotic hay released toward home plate : atheromatous plaque Sumo stable manager with cocoa kid: sumatriptans and Smoker : cigarette smoking is a major risk factor for prinzmetal angina Therapy for long term management of vasospastic (prinzmetal) angina 'Calci-Yum' icecream: calcium channel blockers are the 1st-line Relaxing on nitro box: nitroglycerin improves symptoms of
Vasospastic (prinzmetal) angina common occurs over a stableĪtherosclerotic coronary plaque (may occur in disease free vessels)
Plaque mounted above stable: paroxysmal vasospasm seen in Startled awake: the paroxysmal vasospasm seen in vasospasticĪngina is likely due to smooth muscle hyper-reactivity in the coronary Twisted red sleeve : vasospastic angina is caused by transient Sleeping stable boy : vasospastic (Prinzmetal) angina symptoms occur
Relaxing on nitro crate : stable angina is relieved with rest or Tired blacksmith with armor on left arm : typical symptoms of stableĪngina include chest pressure/pain which can radiate to left arm andĬhin, diaphoresis and dyspnea (elderly diabetic, female pts may have Plaques secured above stable : stable fixed atherosclerotic plaquesĬause stable angina (predictable symptoms)ĭark spot on inner horseshoe surface : stable angina involves '70'-shaped tongs : fixed coronary plaques causing >70% stenosis willĬlutching chest over anvil : stable angina ( predictable episodesĬhest pain and pressure worse with exertion)