SIHD and Angina Presentation

Question 1

what investigations would you do for stable angina

Answer 1

1. Bloods
2. CXR- may show other causes of chest pain
3. ECG may show evidence of prior MI or LVH
4. exercise tolerance tests
5. Myocardial perfusion imaging
6. CT angiography

Question 2

what are you looking for in myocardial perfusion imaging

Answer 2

if myocardium is normal, normal myocardium will take up the tracer and it will not be seen

Question 3

when would you carry out an invasive angiography

Answer 3

if strong positive ETT

if diagnosis not clear after non-invasive tests

Question 4

what is the treatment strategy for stable angina

Answer 4

Address risk factors: cholestorol,lifestyle.BP.DM

medical treatment for disease progression and symptoms

revascularisation- if symptoms not controlled

Question 5

in terms of medical treatment what drugs could be used to slow disease progression

Answer 5

statins
ACEI
Aspirin

Question 6

in terms of medical treatment what drugs could be used to relieve symptoms

Answer 6

B blockers
CCB
Nitrates