Cardiology

Question 1

what is the difference between typical and atypical angina

Answer 1

• people with typical angina have:
  
  • constricting discomfort in the front of the chest, neck, shoulders, jaw or arms
  • precipitated by physical exertion
  • relieved by rest or GTN in about five minutes
• people with atypical angina have two of the above pain features.

Question 2

what is prinzmetal angina

Answer 2

coronary artery vasospasm

Question 3

when does spontaneous coronary artery spasm most commonly occur?

Answer 3

morning

Question 4

what is the mainstay of treatment for coronary artery vasospasm

Answer 4

control CVD risk factors

GTN and CCBs

stenting may be required for refractory spasm

Question 5

investigations for angina

Answer 5

• 12 lead ecg
• troponins
• FBC - exclude anaemia
• TFTs - hyperthyroidism increases work of heart and hypothyroidism is associated with high cholesterol