ANGINA Flashcards
stable angina?
symptoms come on with exertion and relieved by rest or GTN
unstable angina?
symptoms come on at rest
cardiac stress testing?
assessing heart function during exertion: exercise, dobutamine
check with ECG, echo, MRI or myocardial perfusion scan, CT coronary angiogram
gold standard for determining coronary artery disease?
invasive coronary angiography
referrals of stable angina are sent to?
Rapid access chest pain clinic
immediate symptomatic relief for stable angina is?
GTN - vasodilation hence improved blood flow to heart
how to take GTN spray?
when symptoms start, after 5 minutes if they remain, then after another 5 minutes, then call ambulance after another 5 mins
side effects of GTN?
headaches, dizziness
long term symptomatic relief of stable angina?
beta blockers (bisoprolol)
calcium channel blocker (diltiazem or verapamil) avoid in HF with reduced ejection fraction
long term symptomatic relief by specialist?
isosorbide mononitrate
ivabradine
nicorandil
ranolazine
secondary prevention for stable angina?
asprin 75mg
atorvastatin 80mg
ACEi (HF, HTN D, CKD)
Beta blocker
CABG, graft vessels?
saphenous vein
internal thoracic artery/ mammary
radial artery
PCI different to CABG?
faster recovery
lower rates of stroke
higher rate of requiring repeat revascularisation
if calcium channel used with beta blocker use?
longer acting dihydropyridine (amlodipine)
why should beta blockers not be prescribed with verapamil?
complete heart block risk
