2. Angina Flashcards

1
Q

How common is it?

A

Very

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2
Q

Who does it affect?

A

M>F

Sharply increases with age

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3
Q

What causes it?

A

Atherosclerosis of coronary arteries caused by predisposing factors

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4
Q

What risk factors are there?

A

Smoking
Increasing age
FH
Lack of exercise / poor diet

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5
Q

How does it present?

A

Chest pain (tight, dull or heavy)
Triggered by exertion / stress
Stops within a few mins of resting

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6
Q

What signs may the patient have on examination?

A
Xanthelasma
Retinopathy
Abnormal peripheral pulses
Cardiomegaly
Arrhythmia
Heart murmurs
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7
Q

What other conditions might present similarly?

A

MI
Heartburn / indigestion
Anxiety

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8
Q

How would you investigate?

A

ECG / exercise ECG
Angiogram
FBC (lipids)
BMI, blood pressure

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9
Q

What treatments are there?

A
Lifestyle modification (diet, exercise, stop smoking)
GTN spray
Beta-blocker
Aspirin
Statins
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