Stable: - Only when exercising- increased 02 demands/ blood flow - Can be relived by rest/ GTN Unstable: at rest

- Aspirin : 75-100mg - ACEI - Atorvastatin: reduces LDL deposition - Clopidogrel

- Atheroma - Anaemia - Vasculitis / arterititis

- Chest pain radiating to jaw, neck, shoulders, arms - Symptoms brought on by exertion - Relieved within 5 mins by GTN

Angina Flashcards by rebecca duff

Stable vs unstable

Stable:

Only when exercising- increased 02 demands/ blood flow
Can be relived by rest/ GTN

Unstable: at rest

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What is angina

Chest pain due to narrowing of blood vessels to the heart which leads to restriction of blood to the heart

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Investigations

FBC 
U&amp;Es 
Lipid profile 
Hb1AC
ECG - ST depression
ETT
CT angiography

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Immediate management

Immediate: GTN spray- leads to vasodilation which relieves symptoms

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Long term medical management

Beta blocker
CCB

long acting nitrates
Nicorandil
Ivabradine
Ranolazine

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Secondary prevention

Aspirin : 75-100mg
ACEI
Atorvastatin: reduces LDL deposition
Clopidogrel

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Surgical management

PCI- Balloon stent

CABG- stent usually from great saphenous

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Aetiology

Atheroma
Anaemia
Vasculitis / arterititis

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Presentation

Chest pain radiating to jaw, neck, shoulders, arms
Symptoms brought on by exertion
Relieved within 5 mins by GTN

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Angina Flashcards

(9 cards)