Angina Flashcards
1
Q
define stable angina
A
chest pain or discomfort brought on by activity or emotion due to myocardial iscahemia, relieved by rest
2
Q
presentation of stable angina
A
- pressure on chest, can radiate
- relieved by rest
3
Q
diagnosis of stable angina
A
- exercise testing
- ECG
- perfusion scanning
- CT angiogram (50-70% narrowing is considered an obstruction)
4
Q
management of stable angina
A
step one: beta blocker or CCB (GTN as an adjuvant for acute episodes)
step two: consider mono therapy e.g. ISMN, ivabradine, nicorandil or ranolazine
5
Q
define unstable angina
A
this is angina that can occur at rest
6
Q
presentation of unstable angina
A
- exacerbation of current angina
- chest pain not relieved by rest
7
Q
diagnosis of unstable angina
A
- relieved by GTN
- ECG to rule out MI
- cardiac biomarkers are not elevated
- GRACE risk calculator for ACS
8
Q
management of unstable angina
A
- relieved by GTN
- beta blocker or CCB
- stain, anticoagulation
9
Q
define familial hypercholesterolaemia
A
genetic disorder resulting in high LDLs and TAGs
10
Q
diagnosis of familial hypercholesterolaemia
A
lipid profile
11
Q
management of familial hypercholesterolaemia
A
- PCSK9 inhibitors e.g. evolocumab and alirocumab
- statins
