Stable angina Flashcards
What is stable angina?
chest discomfort provoked by effort or emotion and relieved by rest
What symptoms, other than chest discomfort, can you experience with stable angina?
isolated throat tightness or arm heaviness, exertional breathlessness, fear, sweating and nausea
What are some coronary artery disease risk factors?
cigarette smoking, hypertension, diabetes mellitus, hypercholesterolaemia, a family history of premature coronary artery disease, or presence of any other acquired vascular disease
What else should be checked for if angina is suspected?
Valvular disease and hypertension
What should be asked in a history of someone with suspected angina?
Precipitants of angina attacks, relieving factors, stability of symptoms, risk factors, occupation, assessment of intensity, length and regularity of exercise, basic dietary assessment, alcohol intake, drug history and family history
What would the pain in angina be described as?
Short pain, related to activity
What should be examined for if angina is suspected?
Weight and height, blood pressure, presence of murmurs, especially aortic stenosis, evidence of hyperlipidemia, evidence of peripheral vascular disease and carotid bruit
What investigations would you do if angina was suspected?
full blood count and biochemical screen including glucose/HbA1c, full lipid profile, ECG
What three things make you high risk for angina?
Diabetes, smoking and hyperlipidaemia
When is CT measuring calcium levels done on patients?
When CAD risk is 10-29%
When would a stress MRI, echo or myoview be done on a patient?
When CAD risk is 30-60 percent
When would invasive coronary angiography done on a patient?
When CAD risk is 61-100%
What treatment should be given to someone with angina?
Aspirin 75mg or clopidorgel, sublingual GTN spray, beta blockers, calcium channel blocker, nitrates, ivabradine, Ransolazine, statin, ACE inhibitor
What does a beta blocker do for angina?
Rate limitation
What does Ivabradine do?
sinus node blocking get which may be an alternative rate controlling agent is beta blockers cannot be given
