Coronary Heart Disease

Question 1

What are the signs of Angina?

Answer 1

Pressing, squeezing, heaviness, a weight
Radiating to arm(s), back, neck, jaw, teeth
Exertion, stress, cold wind, after meals
Few minutes, relieved by rest, GTN Spray
Patient has risk factors

Question 2

What are the signs of an aortic dissection?

Answer 2

Tearing, excruciating, severe then ease

Question 3

What are the signs of an MI?

Answer 3

Severe, associated autonomic upset

Ongoing pain, despite >10mg Morphine

Question 4

What are the signs of a pulmonary embolus?

Answer 4

Breathlessness, dull (maybe pleuritic) pain

Question 5

What are tests of ischaemia?

Answer 5

• Exercise testing
• Perfusion scanning
• CT angiography

Question 6

What is an antiplatelet drug for CHD?

Answer 6

Aspirin

Question 7

What is slowing heart rate drug for CHD?

Answer 7

Beta blocker

Question 8

What is a cholesterol lowering drug for CHD?

Answer 8

Statins

Question 9

What is a blood pressure reducing drug for CHD?

Answer 9

ACE Inhibitors

Question 10

What is an angiography?

Answer 10

Sheath inserted into artery
Catheter advanced from wrist / groin to coronary ostium
X-ray contrast agent injected to outline coronaries
Video fluoroscopy recorded images in multiple views

Question 11

What is revascularisation?

Answer 11

restoration of perfusion to the heart after ischeamia

Question 12

What is CABG?

Answer 12

Coronary Artery Bypass Graft - It diverts blood around narrowed or clogged parts of the major arteries to improve blood flow and oxygen supply to the heart

Question 13

What is PCI?

Answer 13

non-surgical procedure that uses a catheter (a thin flexible tube) to place a small structure called a stent to open up blood vessels in the heart that have been narrowed by atherosclerosis