Coronary artery disease Flashcards

1
Q

describe the management of angina.

A

all patients given aspirin + statin + GTN spray
1st ine: beta blocker or CCB
2nd line: beta blocker + CCB (not verapamil as its a rate limiting)
3rd line: add 3rd drug awaiting PCI or CABG

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2
Q

with regards to tolerance to GTN what does the BNF advice patients?

A

take the second dose 8 hours after the first dose instead of 12 hours of isosorbide mononitrate

allows blood nitrate levels to fall for 4 hours and maintains effectiveness

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3
Q

if a patient with asthma has angina but symptoms aren’t controlled after the use of CCB, what would you do next to control their angina?

A

add either nicorandil, ivabradine, ranolazine, long acting nitrate

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