Unstable Angina: Clinical presentation

-Prolonged (>20mins) anginal pain at rest: retrosternal sensation of pressure/ heaviness radiating to left arm, neck or jaw - sweating, pallor - nausea, abdominal pain, vomiting - dyspnea, syncope - Atypical symptoms: epigastric pain, indigestion - Physical exam: stable or in shock; excited/flashy/sweaty , BP↓ or↑, tachy/bradycardia auscultation : gallop rhythm,, systolic murmur, pericardial friction sound (if pericarditis)