Angina

Question 1

What is stable angina?

Answer 1

Formation of atherosclerotic plaque causing mild ischaemia to heart muscle. Demand exceeds supply

Question 2

What are the signs of stable angina?

Answer 2

Xanthalasma, corneal arcus, hypertension, tachycardia

Question 3

What are the symptoms of stable angina?

Answer 3

Central radiating chest pain –> neck/arms,fatigue, claudication, shortness of breath, palpitations

Question 4

What investigations should be done if stable angina is suspected?

Answer 4

Exercise tolerance test, ECG, ECHO, lipid profile, FBC

Question 5

What is the treatment for stable angina?

Answer 5

GTN spray, smoking cessaation, treat risk factors, ASPIRIN, bisoprolol

Question 6

What is unstable angina?

Answer 6

Disruption of atherosclerotic plaque results in lumen narrowing and lack of perfusion to cardiac muscles

Question 7

What are the risk factors for angina?

Answer 7

Atherosclerosis, throbosis, smoking, diabetes, obesity, hypertension, age, family history

Question 8

What are the signs for unstable angina?

Answer 8

ST elevation on ECG, fourth heart sound, bruit, tachycardia

Question 9

What are symptoms of unstable angina?

Answer 9

Central radiating chest pain, dyspnoea, fatigue, dizziness, claudication, palpitations

Question 10

What investigations are done in ustable angina?

Answer 10

ECG, Troponin, ECHO, FBC, CXR, perfusion scan

Question 11

How should unstable angina be treated?

Answer 11

Nitrates, CCBs, heparin, ACEi, propanalol, bisoprolol, , aspirin, statin