Angina

Question 1

symptoms of angina

Answer 1

Heavy/tight/gripping chest pain, typically on exertion, radiating to the jaw and/or arms

Question 2

d: Stable angina

Answer 2

symptoms are not new and pain is relieved by rest/GTN

Question 3

d: unstable angina

Answer 3

(an ACS) is pain on less and less exertion/eventually rest; GTN becomes less effective

Question 4

Name the investigations a patient to have with angina

Answer 4

FBC
Thyroid function tests
fasting glucose+lipid profile
ECG
Echocardiography
CXR

Question 5

What will and ECG exclude and show?

Answer 5

ACS

may show Q waves of past MI or LVH or BBB

Question 6

how should  Patients with typical angina symptoms + >90% risk of CVD should be managed?

Answer 6

for stable angina

Question 7

how should  Patients with typical angina symptoms + >61% risk of CVD should be managed?

Answer 7

catheter angiography

Question 8

how should Patients with typical angina symptoms + >30% risk of CVD be managed?

Answer 8

functional testing eg

SPECT, stress-ECG, stress MI

Question 9

How should Patients with typical angina symptoms + >10% risk of CVD?

Answer 9

should have CT angiography