Stable Angina

Question 1

Describe the severity of angina using the Canadian classification of angina severity:
I

Answer 1

Ordinary physical activity does not cause angina, symptoms only on significant exertion.

Question 2

Describe the severity of angina using the Canadian classification of angina severity:
II

Answer 2

Slight limitation of ordinary activity, symptoms on walking 2 blocks or > 1 flight of stairs

Question 3

Describe the severity of angina using the Canadian classification of angina severity:
III

Answer 3

Marked limitation, symptoms on walking only 1-2 blocks or 1 flight of stairs

Question 4

Describe the severity of angina using the Canadian classification of angina severity:
IV

Answer 4

Symptoms on any activity, getting washed/dressed causes symptoms

Question 5

Signs on examination:

Answer 5

• Tar staining on the finger
• Abdominal aortic aneurysm
• Xanthalasma
• Diabetic retinopathy
• Obesity
• Hypertension
• Pallor of anaemia
• Pansystolic murmur of mitral regurgitation
• Ejection of systolic murmur
• Tachycardia
• Signs of heart failure (basal crackles, increases JVP and peripheral oedema)