IHD

Question 1

Secondary prevention medications

Answer 1

Statins
Ramipril 2.5mg
Beta blocker 2.5mg

Question 2

Anti-anginal drugs

Answer 2

1- beta blockers to maximum
2- or calcium channel blocker to maximum
3- Both uptitrated to maximum
4- long acting nitrates/nicorandil/ronalazine/ivabradine

If calcium channel blocker is used as first line and monotherapy for angina : use rate limiting CCB : diltiazem, verapamil

If CCB is added as second line, with beta blockers, use bp controlling one: amlodipine, MR nifidipine

Question 3

Ronalazine special capability

Answer 3

Works as anti-anginal
And anti-arrythmic for AF

So best for patients with AF and chest pain