Stable Angina

Question 1

What are the adverse effects of nicorandil?

Answer 1

lethargy
hypotension
chest pain
anal ulcers

Question 2

What are the adverse effects of beta blockers?

Answer 2

cold peripheries
sleep disturbances
bronchospasm

Question 3

What are the adverse effects of calcium channel blockers?

Answer 3

ankle oedema
constipation
dyspepsia

Question 4

What are the side effects of nitrates?

Answer 4

headache
postural hypotension
tachycardia

Question 5

What are the main symptoms of stable angina?

Answer 5

chest pain radiating to the jaw of arms during exertion
gets better after 5 mins of rest
relieved by GTN spray

Question 6

What is the gold standard test for determining coronary artery disease?

Answer 6

invasive coronary angiography
- catheter inserted in brachial or femoral artery and directed up to aorta under x-ray guidance

Question 7

What side effects can GTN cause?

Answer 7

headaches and dizziness

Question 8

What drugs are used for long term symptomatic relief of angina?

Answer 8

beta blockers (bisprolol)
calcium channel blockers (ditiazem)
specialists may consider nitrates, ivabradine, nicorandil, ranolazine

Question 9

What are the two surgical options for someone who has an extreme case of angina?

Answer 9

percutaneous coronary intervention
coronary artery bypass graft