L4: IHD - Stable Angina Flashcards by Ahmed Farag

Q

Def of Stable Angina

A

It Is a clinical syndrome of chest pain due to imbalance between oxygen supply & demands of the myocardium.

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Q

Etiology of Stable Angina

A

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Q

Etiology of Stable Angina

Decreased myocardial oxygen supply

A

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Q

Etiology of Stable Angina

Increased myocardial oxygen demand

A

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Q

CP of Stable Angina

A

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Q

CP of Stable Angina

Symptoms

A

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Q

Chest Pain in Stable Angina

Site

A

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Q

Chest Pain in Stable Angina

Character

A

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Q

Chest Pain in Stable Angina

Radiation

A

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Q

Chest Pain in Stable Angina

Duration

A

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Q

Chest Pain in Stable Angina

PPT Factors

A

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Q

Chest Pain in Stable Angina

Relieving Factors

A

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Q

Chest Pain in Stable Angina

Associations

A

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Q

Chest Pain in Stable Angina

Relation to respiration, cough, or change in position.

A

Pain intensity does not change with respiration, cough, or change in position.

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Q

Chest Pain in Stable Angina

Others

A

Patients with IHD can also present with the radiating pain but no central chest pain, or with no pain at all (Sient ischemia).

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Q

CP of Stable Angina

Signs

A

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Q

Signs of Stable Angina

Usually ……

A

NO abnormal finding

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Q

Signs of Stable Angina

RF

A

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Q

Signs of Stable Angina

Levine Sign

A

positive levine sign; characterized by the patient’s fist clenched over the sternum when describing the pain.

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Q

Signs of Stable Angina

Chest Wall Pain

A

Pain produced by chest wall pressure is usually of chest wall origin.

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Q

Signs of Stable Angina

Sympathetic stimulation

A

pallor, tachcardia & hypertension ( secondary to sympathetic stimulation).

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Q

Signs of Stable Angina

Auscultation

A

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Q

Signs of Stable Angina

In Between Attacks

A

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Q

Signs of Stable Angina

Criteria for classification of chest pain

A

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INVx in **Stable Angina**

INVx in **Stable Angina** - ECG

ECG in **Stable Angina** - Resting ECG

ECG in **Stable Angina** - Holter ECG

to detect silent ischemia & Prinzmetal Angina

ECG in **Stable Angina** - Stress ECG

Stress test is contraindicated In:

INVx in **Stable Angina** - Echo & Dubutamine Echo

- may show abnormal motion of the myocardium

INVx in **Stable Angina** - Nuclear Imaging

INVx in **Stable Angina** - Coronary Angiography

INVx in **Stable Angina** - Labs

Imaging tests for suspected CAD

Imaging tests for suspected CAD - Stress Testing

Imaging tests for suspected CAD - Anatomical Testuing

Advantage of myocardial perfusion imaging is .....

Identify presence and amount of ischemia & guide revascularization

Canadian cardiovascular society functional classification of angina

Canadian cardiovascular society functional classification of angina - Grade I

Canadian cardiovascular society functional classification of angina - Grade II

Canadian cardiovascular society functional classification of angina - Grade III

Canadian cardiovascular society functional classification of angina - Grade IV

TTT of **Stable Angina**

TTT of **Stable Angina** - In Between Attacks

TTT of **Stable Angina** - Control of RF

TTT of **Stable Angina** - Pharmacologic Therapy

Pharmacologic Therapy in **Stable Angina** - Nitrates

Nitrates in **Stable Angina** - MOA

Nitrates in **Stable Angina** - Preparations

Nitrates in **Stable Angina** - SE

Beta Blockers in **Stable Angina**

Beta Blockers in **Stable Angina** - MOA

Beta Blockers in **Stable Angina** - Preparation

Beta Blockers in **Stable Angina** - SE

CCBs in **Stable Angina** - MOA

CCBs in **Stable Angina** - Preparations

CCBs in **Stable Angina** - SE

Antiplatlets in **Stable Angina**

New Drugs in **Stable Angina**

New Drugs in **Stable Angina** - Ivabradine

New Drugs in **Stable Angina** - Ranolazine

New Drugs in **Stable Angina** - Nicroandil

New Drugs in **Stable Angina** - Trimetizadine

TTT of **Stable Angina** - Coronary Revascularization

Coronary Revascularization in **Stable Angina** - Indications

* Angina not responding to medical treatment. * Post infarction angina to improve the prognosis

Coronary Revascularization in **Stable Angina** - Techniques

Coronary Revascularization in **Stable Angina** - PTCA (Technique & Indications)

Coronary Revascularization in **Stable Angina** - CABG (Technique & Indications)

TTT of **Stable Angina** - In Actual Attack

If the patient is not relieved after the use of 2-3 tablets, the patient should .......

be immediately transferred to hospital & evaluated for the possibility of myocardial infarction.