A nurse working in the emergency department is assisting with admitting a client. Exhibits For each of the following findings in the client's medical record, click to specify if they are consistent with angina or a myocardial infarction (MI). Each finding may support more than one disease process.

Result of nitroglycerin therapy: Angina pain typically improves with nitroglycerin, as seen in this client, which is consistent with stable angina rather than MI (pain from MI is less likely to resolve completely with nitro). Treadmill stress test: This is a diagnostic test used to confirm angina by provoking ischemic changes during exertion; it is not performed during acute MI. Provider consult: Cardiology consultation is appropriate for both angina (for ongoing management) and MI (for acute and post-event care). Client’s initial report of manifestations: Symptoms of jaw, neck, and left arm pressure are classic for both angina and MI, so this finding supports either condition. 12-lead ECG report: ST depression and T-wave inversion are hallmark ischemic changes that point more strongly toward myocardial infarction than stable angina.