Angina

Question 1

Definition of angina?

Answer 1

Chest pain caused by reduced blood supply to the myocardium

Question 2

What makes angina a stable angina?

Answer 2

Symptoms relieved by rest
Symptoms relieved by GTN

Question 3

Gold standard investigation for stable angina?

Answer 3

CT coronary angiography
(best is actually perfusion MRI but not available everywhere)

Question 4

Immediate symptomatic relief for stable angina?

Answer 4

Question 5

Longer term symptomatic relief for stable angina?

Answer 5

Question 6

4 drugs for prevention of CVD in patients with stable angina? (secondary prevention)

Answer 6

Question 7

Two procedural / surgical interventions for stable angina?

Answer 7

Question 8

Most common cause of stable angina?

Answer 8

IHD

Question 9

Biggest risk factor for stable angina?

Answer 9

Age

Question 10

What percentage of a coronary artery needs to be blocked to cause angina?

Answer 10

roughly 70%

Question 11

when does Prinzmetal’s angina pain usually occur?

Answer 11

during the night

Question 12

what’s another term for Prinzmetal’s angina?

Answer 12

variant angina

Question 13

what causes Prinzmetal’s angina?

Answer 13

coronary artery spasm

Question 14

what part of the ECG is affected in Prinzmetal’s angina?

Answer 14

ST segment

Question 15

what’s first line treatment for Prinzmetal’s angina?

Answer 15

CCBs