Cardiology

Question 1

What causes chronic stable angina?

Answer 1

A stable plaque in a coronary artery

Question 2

What medications should someone with chronic stable angina be on?

Answer 2

Aspirin
Statin
Beta blocker
GTN

Question 3

What second line treatment can be done for chronic stable angina if a patient is still symptomatic?

Answer 3

Revascularisation

Question 4

What causes an NSTEMI?

Answer 4

Critical coronary artery narrowing - still slightly open though

Question 5

What criteria need to be met for a diagnosis of an MI?

Answer 5

Ischaemic chest pain
One of:
- ECG changes
- Elevated cardiac enzymes

Question 6

What medication should be given ASAP for all suspected ACS?

Answer 6

Aspirin 300mg

Question 7

What medications should be given for a confirmed NSTEMI?

Answer 7

Aspirin 300mg
Ticagrelor 180mg OR clopidogrel 300mg
LMWH
BB
Statin
ACE inhibitor

Question 8

What medications should be given ASAP for patients with a confirmed STEMI?

Answer 8

5000 units heparin IV
600mg clopidogrel or 180mg ticagrelor PO
300mg aspirin PO

Question 9

What do patients need to be on after PCI and for how long?

Answer 9

Dual anti-platelets for at least a month