Chronic Stable Angina

Question 1

What is Chronic stable angina? How
is it different from ACS?

Answer 1

• Angina = chest pain due to mismatch between oxygen supply and demand as a result of atherosclerosis in coronary artery
• Stable angina → Plaque less likely to rupture compared to unstable angina and cause MI

Question 2

How do drugs for angina treat
symptoms?

Answer 2

Either decreases myocardial oxygen demand or increase oxygen supply to heart

Question 3

Prevention of Symptoms? (Risk
modification)

Answer 3

• Via Medications + Lifestyle Modifications
• Medications: ASA, ACEi/ARB, and Statin
• Lifestyle Mod:
  ○ Smoking Cessation
  ○ Weight Loss
  ○ Diabetes and BP Control

Question 4

What is given for acute symptom
relief PRN?

Answer 4

Acute symptom relief PRN
○ Short-acting nitrates