Stable Angina Flashcards
What is stable angina?
Reversible imbalance between myocardial O2 supply & demand due to e.g. atherosclerosis, hypertension, etc
What classifies as stable angina, compared to unstable angina?
Symptoms must be provoked by exercise/physical exertion, with no changes for >2 months to be stable angina
Where do you refer a patient who presents with stable angina?
Rapid chest pain clinic
What is the 1st line treatment for stable angina?
B-blockers, or
Rate-limiting CCBs - verapamil/diltiazem
Sublingual glyceryl trinitrate (GTN) spray for chest pains
What is the 2nd line treatment for stable angina?
Ivabradine
Nicorandil
Isosorbide (long-acting nitrate)
Ranolazine
What should you give to a patient who is already taking a b-blocker, and requires another drug for their stable angina?
A dihydropyridine CCB, e.g. amlodipine, felodipine
Why should you never give a b-blocker and CCB together?
It can cause severe bradycardia & heart failure
What are some side effects of GTN?
Dizziness
Hypotension
Headaches
Nausea
