Angina/Myocardial Infarct
Comparison
MI
Angina
•  blood supply to part of heart
• Pain at any time
• Relieving factors: Sx persists > 15 minutes, 
•
•
•
•
relief pain or nitro
• Duration > 15 minutes
• Serum markers –present
• Lasting effect if not reversed within 20 minutes
 blood supply to myocardium
 pain after exercise or  stress
Relieving factors- rest and nitroglycerin
Duration-transient < 15 minutes usually 3-5
minutes if persists may be headed towards MI
• Serum markers – not present
• Lasting effect –no unless becomes unstable angina
Treatment
The key to successful handling of cardiac emergencies is a rapid assessment.
Supportive treatment can and should be initiated while assessing the client.
One key point is crucial; supplemental oxygen should be initiated on all individuals suspected of cardiac
emergencies.
Cardiac Monitor
Blood pressure monitoring
O2 Sat Monitor
Should consider starting IV, and blood draws
Physical Assessment
Pain Assessment- nitro
Call Physician
ECG