TY - CHAP M1 - Book, Section TI - Vasodilators & the Treatment of Angina Pectoris & Coronary Syndromes A1 - Katzung, Bertram G. A2 - Vanderah, Todd W. Y1 - 2024 N1 - T2 - Katzung’s Basic & Clinical Pharmacology, 16th Edition AB - CASE STUDYA 67-year-old woman presents in the emergency department of a small rural hospital with a history of chest pain and shortness of breath while watching television. While nasal oxygen is administered and an ECG is recorded, blood is drawn for high-sensitivity troponin measurement. Her husband provides the history that she has a history of exercise-induced angina pectoris and has taken nitroglycerin for relief in the past. Two doses of nitroglycerin have not relieved her pain on this occasion. She smokes and has a history of hyperlipidemia with elevated “bad cholesterol” (low-density lipoprotein [LDL]) and hypertension. Her father survived a “heart attack” at age 55, and an uncle died of some cardiac disease at age 60. On physical examination, the patient’s blood pressure is 145/90 mm Hg, and her heart rate is 100 bpm. The ECG shows no ST elevation, but ST depression is present in several leads. Assuming that a dioagnosis of acute coronary syndrome (ACS) is correct, what treatment should be implemented? SN - PB - McGraw-Hill CY - New York, NY Y2 - 2024/09/12 UR - accessphysiotherapy.mhmedical.com/content.aspx?aid=1204137331 ER -