Angina

Question 1

3 criteria to diagnose typical angina?

Answer 1

• Pain precipitated by exertion
• Pain relieved on rest/nitrate spray
• Constricting pain radiating to jaw or down the left arm

Question 2

Stepwise Mx of angina?

Answer 2

1. Rate-limiting Ca channel blocker/B-blocker
2. Ca channel blocker (dihydropyridine) + B-blocker
3. Add ranolazine/nicorandil/ivabradine/isosorbide mononitrate
4. PCI

Titrate medication to maximum dose tolerated before going onto next Tx plan