This report provides a comprehensive analysis of a clinical scenario, integrating pathophysiology, pharmacology, and psychosocial aspects within nursing practice. It begins with an introduction to pathophysiology and pharmacology, emphasizing their importance in effective healthcare. The report then addresses a series of questions related to a patient with a history of coronary heart disease, including the interpretation of ECG findings, the pathophysiology of angina and acute coronary syndrome (ACS), and the pharmacological interventions such as GTN, Diltiazem, and Pravastatin. The report also explores the use of medications like Aspirin and Ticagrelor in preventing cardiac events and discusses the controversies surrounding the use of Morphine in ACS. The analysis highlights the integration of these elements to provide effective patient care, addressing the role of nurses in assessing and managing patients with cardiac conditions.