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Which type of angina do you suspect in Harvey, who complains of chest pain that occurs during sleep and most often in the early morning hours? Stable angina Unstable angina Variant (Prinzmetal’s angina) Probably not angina but hiatal hernia

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Answer:

Variant (Prinzmetal's angina)

Explanation:

Prinzmetal's Angina, also called Variable Angina is a syndrome characterized by episodes of ischemic pain that occur at rest (during sleep and more often in the early hours of the morning, as with Harvey). This syndrome is caused by a coronary vasospasm (temporary narrowing of a vessel). Treatment is with ingestion of nitrates and calcium channel blockers.

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