Angina, MI

Question 1

First line investigation in someone with stable angina

Answer 1

CT coronary angiography

Question 2

First line drug for angina

Answer 2

Beta bocker or CCB

and GTN for any episodes

Question 3

What drugs should be given to someone for secondary prevention of CVD in pts with

1. stable angina only
2. stable angina + diabetes

Answer 3

1. stable angina only = Aspirin

2. stable angina + diabetes = ACEi

Question 4

When is PCI used to treat STEMI

Answer 4

Presenting within 12h of symptom onset

PCI can be given within 2h of time when fibrinolysis could have been given

Question 5

When is fibrinolysis used to treat STEMI

Answer 5

Presenting within 12h of symptom onset

PCI cannot be done within 2h of time when fibrinolysis could have been given

Question 6

If the pt still has ST elevation 60-90min after fibrinolysis, would should be done next

Answer 6

Coronary angiography

Question 7

When is coronary angiography used to treat STEMI

Answer 7

1. Presenting after 12h of symptom onset

2. Fibrinolysis did not work after 60-90min

Question 8

First line acute management of unstable angina/ NSTEMI

Answer 8

1. Aspirin

2. Fondaparinux (LMWH) unless angiography is planned in 24h

Question 9

What drug should all pts be put on after an episode of unstable angina/ NSTEMI

Answer 9

Clopidogrel

Question 10

What type of drug is used to treat LV dyfunction and heart failure after MI

Answer 10

Aldosterone antagonists