Stable Angina

Question 1

What is stable angina and causes

Answer 1

From atherosclerosis in coronary arteries

Triggered by physical exertion or stress

Question 2

Symptoms and duration of stable angina

Answer 2

Pain discomfort in front of chest
Tight dull heavy sensation
Can spread to arms neck jaw or back

Stops within few minutes of rest

Question 3

How to treat acute attack

Answer 3

GTN or sublingual tablets

0 mins 1st dose
5 mins 2nd dose if still pain
10 mins call 999 if still pain

Question 4

What is 1st 2nd 3rd line maintenance therapy

Answer 4

1st BB or CCB
2nd Other class BB or CCB
3rd BB + dihydropyrodine CCB

Question 5

What is 4th line if intolerant to prior for stable angina

Answer 5

Long acting nitrate

Ivabradine
Nicorandil
Ranolazine

Question 6

What is side effect of nicorandil

Answer 6

Ulceration

Question 7

What is side effect of ranolazine

Answer 7

QT prolongation

Question 8

What is storage precaution for GTN ublingual tablets

Answer 8

Discard 8 weeks after opening bottle

Question 9

What is administration precaution with nitrates

Answer 9

Asymmetric dosing

NITRATE free period for 10-14 hrs

MR prep for people with diffiuclty timing

Question 10

What is caution and side effect of nitrates

Answer 10

Cautioned in elderly - falls risk

Headaches
Dizsiness
Flushing
Oedema