Angina

Question 1

What is the definition of Angina

Answer 1

Substernal discomfort thats caused by precipitants but relieved by rest / GTN

Question 2

What are 3 precipitants

Answer 2

Cold weather

Exercise

Heavy meals

Question 3

What are 2 main causes of Angina

Answer 3

Atherosclerosis (CAD)

Anaemia

Question 4

What are the 3 types of Angina that can lead to ST depression

Answer 4

Decubitus angina => Triggered laying flat

Unstable angina
Stable angina

Question 5

What are the types of Angina that can lead to ST elevation (2)

Answer 5

Prinzmetal angina => Coronary Artery Spasm

Unstable angina

Question 6

What are the main investigations in Angina (…)

Answer 6

ECG

E CG => ST elevation / depression
C T => Coronary calcium score // C.angiography
G o => Thallium scan

Question 7

What are thedrugs given in Angina (….)

Answer 7

ABCK

A spirin
B blockers
C alcium channel blocker
K + activator => Nicorandil

Question 8

How does Nicorandil Work

Answer 8

K+ Activator

=> Relaxes BV => Increase O2 + Blood to heart

Question 9

What type of surgery can be done in angina if severe

Answer 9

Coronary artery bypass graft (CABG)

Question 10

2 main complications of Angina

Answer 10

MI

Stroke