angina Flashcards
1
Q
what is angina?
A
-symptomatic myocardial ischaemia
2
Q
symptoms of stable angina?
A
- predictable pain on exertion (goes away after 5 mins)
- breathlessness
- central chest tightness can radiate to jaw/chest/neck/shoulders/arm
- nausea
3
Q
difference between stable and unstable angina?
A
-unstable is increased in frequency/severity of pain to progressively little exertion
4
Q
what is angina decubitis?
A
-angina worse when lying flat
5
Q
what investigations are taken place for angina?
A
ECG
6
Q
what will ECG show for angina?
A
-ST depression
or
-flat/inverted T waves
7
Q
treatment for stable angina?
A
- BB (atenolol/bisoprolol)
- rate limiting CCB (diltziam/verapamil)
- Trial other drugs: isorbide mononitrate/GTN patch, nicorondil, ivabradine
- Ranolazine
- Revascularisation
8
Q
cause of angina?
A
atheroma
