angina pectoris (stable CAD)

Question 1

classic angina

Answer 1

partial obstruction by plaque in an artery

Question 2

variant angina

Answer 2

focal/diffuse spontaneous spasm of a normal/mildly diseased artery

Question 3

microvascular angina

Answer 3

dysfunction of small arteries

Question 4

2 subtypes of angina

Answer 4

angina with obstructive CAD and angina without obstructive CAD (INOCA)

Question 5

example of angina with obstructive CAD

Answer 5

classic/stable angina

Question 6

2 examples of angina without obstruction

Answer 6

variant/Prinzmetals and microvascular

Question 7

What happens to the ST segment in classic angina?

Answer 7

ST depression

Question 8

What happens to the ST segment in variant angina?

Answer 8

ST elevation

Question 9

What happens to the ST sgemant in microvascular angina?

Answer 9

ST depression during exercise

Question 10

When does pain occur in variant angina?

Answer 10

at rest or at night

Question 11

What happens metabolically during angina?

Answer 11

increase in lactate production and ATP breakdown due to anaerobic metabolism

Question 12

What type of ischaemia is ST depression?

Answer 12

subendocardial ischaemia

Question 13

What type of ischaemia is ST elevation?

Answer 13

transmural ischaemia

Question 14

What drugs can be given?

Answer 14

aspirin 75mg, statins, ACE inhibitors, organic nitrates and nitrites, beta blockers, Ca channel blockers