Angina

Question 0

Where is the pain typically experienced in angina?

Answer 0

Retrosternum, can radiate to jaw and left arm (sometimes right also)

Question 1

Angina is characterised by what key symptoms?

Answer 1

Chest pain (crushing/heavy/tight) and SOB

Question 2

How long doe chest pain occur typically in chronic stable angina?

Answer 2

A matter of minutes. Usually relieved by rest

Question 3

What are the 4 main investigations you are likely to perform if you suspect angina?

Answer 3

ECG
Blood Profile
Exercise Stress Test
Angiography

Question 4

What are the 3 main routes for management of angina?

Answer 4

1) Lifestyle changes (diet, exercise, smoking cessation)
2) Medical therapy
3) Revascularisation

Question 5

What information will Troponin T levels give you?

Answer 5

It will indicate: whether there is any / the extent of cardiac muscle ischaemia

Question 6

What principle should be used in the secondary treatment of angina or ACS (acute coronary syndrome)?

Answer 6

MI-5

Question 7

What are the MI-5 drugs?

Answer 7

ACE inhibitors (e.g. Ramipril)
Beta-Blockers (e.g. Bisoprolol)
2x anti-platelet drugs (clopidorgrel and aspirin)
Statins (e.g. Simvastatin / Atorvastatin)