C27a. Stable Angina? Flashcards
what is a common presentation of Ischaemic Heart Disease (IHD)
Stable angina
what causes angina
atherosclerosis - narrowing of coronary arteries
what makes angina stable
fixed stenosis, predictable, safe, during exercise
how do you stop angina if it is stable
resting
what makes angina unstable
worsening angina, unpredictable, can occur at rest as well as exercise. Can progress to a MI.
aside from stable and unstable, what are the other two types of angina
vasospastic and microvasculature
describe vasospastic angina to me. And when does it occur?
coronary artery goes into sudden spasm and suddenly narrows. Occurs during exertion or rest.
who is vasospastic angina most common in
women and smokers
how can you treat vasospastic angina
nitrates or CCBs
what is microvascular angina and when does it occur.
angina due to coronary microvascular dysfunction. happens at rest and during exertion.
how do you diagnose microvascular angina
PET - Positron Emission Tomography
CMR - cardio magnetic resonance
which type of angina do people tend to have if there is no obstructive coronary artery stenosis
microvascular angina
what are the symptoms of Stable angina
central/left sided chest pain
tight or crushing sensation
Dyspnoea (SOB)
wat investigations can be done for stable angina
ECG
CT Coronary angiograph
Catheter angiograph
exercise tolerance test
Myocardial perfusion scan
What lifestyle changes would you implement
- Diet and exercise advice
- Stop smoking
- Decrease alcohol
- BMI 25 or less
