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Finals > Stable angina > Flashcards

Stable angina Flashcards

1
Q

1st line and further investigations for stable angina

A
  1. Contrast enhanced CT coronary angiography
  2. Cardiac stress testing
  3. Invasive coronary angiography
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2
Q

Short term symptomatic relief options for stable angina

A

GTN

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3
Q

Explain the advice given for taking GTN spray

A
  1. Take as symptoms start
  2. Repeat at 5 mins
  3. Repeat at 5 mins
    5 Call 99 if still symptomatic at another 5 minutes
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4
Q

Long term symptomatic relief options for stable angina

A
  1. BB
  2. CCB
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5
Q

If using CCB as monotherapy for stable angina, what kind is used

A

Rate limiting
Verapamil, diltiazem

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6
Q

When using BB and CCB in combination for stable angina management, what CCB is used

A

Long acting
E.g. amlodipine

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7
Q

what further medications for symptomatic control can be added in stable angina, whilst awaiting PCI / CABG

A
  1. Long acting nitrate (isosorbide mononitrate)
  2. Ivabridine
  3. Nicorandil
  4. Ranolazine
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8
Q

What is a SE of standard release isosorbide mononitrate

A

Tolerance and reduced efficacy

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9
Q

Secondary prevention given in stable angina

A

A : Aspirin (75mg)
A : Atorvostatin (80mg)
A : ACEI
A : Already on BB

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10
Q

Surgical options for severe stable angina

A
  1. PCI (angioplasty and stenting)
  2. CABG
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11
Q

what is PCI used in stable angina

A
  • Catheter inserted via brachial or femoral artery. Inserted into coronary arteries using X-ray guidelines. Balloon used to dilate the arteries and a stent insterted
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12
Q

2 +ve and 1 -ve of PCI

A
  • Faster recover
  • Reduced rate of strokes as complication
  • Increased need for repeat procedure
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13
Q

what is CABG

A
  • Midline sternotomy incision. Graft vessel attached to the coronary artery in order to bypass the stenotic artery.
  • Options : long saphernous vein in the leg, radial artery or internal thoracic
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14
Q

If a pt has uncontrolled stable angina and is on a CCB but addition of a BB is CI (e.g. asthma). What can be given ?

A
  1. Isosorbide mononitrate
  2. Ivabridine
  3. Nicorandil
  4. Ranolazine
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Finals (92 decks)

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