Angina Flashcards
1
Q
Features - think of
- pain timing
- relief
- radiation
A
- pain on exercise
- relieved by rest/GTN spray
- referred pain to left arm/jaw
2
Q
Gold standard investigation
A
CT coronary angiography
3
Q
Immediate symptomatic relief
A
GTN spray
4
Q
2 long-term meds symptomatic relief
A
- beta-blocker
- calcium channel blocker
5
Q
When to call 999 following an immediate relief attempt
A
- 2 sprays within 5mins apart
- pain persist following 2nd spray
6
Q
2ry prevention (4As)
A
- aspirin
- atrovastatin
- ACEi
- already on BBs
7
Q
Non-1st line long term meds
A
- long acting nitrates (Isosorbide mononitrate)
- ivabradine
- nicorandil
- ranolazine
