Angina

Question 1

All patients with Angina should be on what2. Drugs?

Answer 1

Aspirin and a statin.

Question 2

1st line prophylaxis of angina?

Answer 2

Beta blocker or Calcium channel blocker

Atenolol or nifedipine

Question 3

If using a CCB as mono therapy for prophylaxis what one should you use?

Answer 3

Verapamil or diltiazem.

Question 4

If using a CCB and beta blocker together what ones?

Answer 4

Atenolol and nifedipine.

Question 5

If poor response to initial treatment, what do you do?

Answer 5

You increase their meds to the maximum tolerated dose.

Question 6

If patient still symptomatic on mono therapy e.g. beta blocker alone or CCB alone what do u do?

Answer 6

Double up.

Question 7

Next line after combined therapy/

Answer 7

Long acting nitrates e.g. ivabradine or nicorandil

Question 8

Advice about GTN spray?

Answer 8

When symptoms develop, stop what you are doing and take the GTN spray.

If no relief, take another spray in 5mins time.

(Pain should normally ease within a minute)

If pain still present after 10mins then call ambulance.