angina Flashcards
1
Q
angina - management
A
aspirin, statin + GTN, then:
1° - beta-blocker or rate-limiting ccb (verapamil, diltiazem)
2° - beta-blocker + LR CCB (MR nifedipine) (never verapamil with beta-blocker)
3° - ISMN or ivabridine
atenolol is 1st line in angina with co-existent heart failure
ivabradine - reduces HR
2
Q
angina - investigations
A
obs, glucose, ECG lipids FBC - anaemia, infection renal function + electrolytes LFTs - baseline pre-statins
