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Angina > Introduction > Flashcards

Introduction Flashcards

1
Q

What is angina

A

Heavy chest pressure due to decreased oxygen

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2
Q

What are the types of angina

A

Stable: angina due to emotional stress or exertion and gets better with rest or NTG
Unstable: does not get better with rest or ntg
Prinzmetals: occurs at rest

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3
Q

What are other names of prinzmetals

A

Variant, vasospasmatic

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4
Q

What is meant by ischemia

A

Reduced blood flow

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5
Q

What are the treatment options for stable angina

A

Nitrate, BB, CCB, ranexa

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6
Q

What is the first line for chronic stable angina?

A

BB

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7
Q

What are long acting nitrates

A

Nitrodur
Isosorbide mononitrate

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8
Q

What are rapid acting nitrates

A

Nitrostat
Nitrolingual
Nitromist
Gonitro

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9
Q

What are treatment options for unstable angina

A

Ntg
Bb (iv)

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10
Q

What are the treatment options for vasospasmatic

A

Ntg
Ccb

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11
Q

Bb with isa

A

App
Acebutolol
Pindolol
Penbutolol

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12
Q

What is the other name for b1 sel bb and what are those

A

Cardioselective
Amebbba
Atenolol
Meto
Esmo
Biso
Betaxo
Bystolic
Acebutolol

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13
Q

What are the adverse for bb

A

Fatigue
Brady
Depression
Worsening pad and raynauds
Bronchoconstriction

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14
Q

Can bb be used for vasospasmatic angina

A

No

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15
Q

Why bb is first line for chronic angina

A

Decrease( hr, afterload, contractility, oxygen demand)

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16
Q

What QT prolonging drugs

A

Quinidine
Dofetilide
Sotalol
Thioridazine
Ziprasidone

17
Q

What are the uses for ccb

A

Raynauds
Htn
1st line for vasospasmatic angina
Svts
Maintenance of stable angina

18
Q

What are dhp ccb that are fda approved for angina

A

Amlodipine, nifedipine er, nicardipine

19
Q

Why cant we use nicardipine ir for angina

A

Bcuz more reflex tachy, headache, peripheral edema, flushing

20
Q

What are the long acting dhp and non ccb used for vasospasmatic angina

A

Verapamil, diltiAzem, amlodipine

21
Q

What is ranolazine used for

A

Chronic stable angina ( refractory)

22
Q

What are the contraindications for ranolazine

A
  1. Prolongs qt. Caution with existing qt due to hypokalemia
  2. Hepatic impairment
  3. Qt prolonging drugs
  4. Dont use if pt on 3a4 inh

Angina (3 decks)

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