Okay, welcome. My name is Devine. This is episode 464 of the Devine Intervention

Podcast. In today's podcast we're going to be discussing cardiovascular parameters.

Cardiovascular parameters.

This is basically going to be a physiology and pathophysiology

podcast, but honestly a lot of this stuff is something that in one way or the other cuts across step one,

step two, CK and step three.

Okay, so I'm going to go right into it. So what if you get a question about a 35 year old male?

Or okay, let's make it an older person let's see you have a

question about a 67 year old male we're told that he comes into the he comes to the

office because for the last four weeks he has been having chest pain that

worsens whenever he exercises and that before he did not have chest pain until after working out for like 30

minutes but now even with five minutes of activity he has just been and they are told that the

person has smoked two packs of cigarettes per day for the last 30 years and in

addition to that he has a history of peripheral material disease and you're told that his symptoms have not responded to a supervised walking program and that he was recently placed on solosters all.

And then you're asked what is the next step in management for this person.

So we see this person, let's look at this case, right? So this person is a vascular path.

This person has a history of PAD. Then they have not just PAD. Now they are having this chest pain. And I know so maybe be like,

Oh, divine, angina, angina, angina, yes. The person has angina, angina, angina.

What kind of angina does this person have? I really hope you're saying, Devine, this sounds an awful lot like

unstable Angina. Because whenever you see a person that has Angina's symptoms that are worsening,

then you go from the realm of stable angina to unstable angina. What do I mean by that?

Notice in the question I said that, oh, this guy would not typically have chest pain

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