STABLE ANGINA PECTORIS Flashcards
What is stable angina pectoris
Pain or discomfort that occurs in the anterior chest and may radiate tot the neck, shoulders, jaws or arms
Pain is typically induced by exertion or emotional stress and relieved by nitrates or rest
Risk factors of stable angina pectoris
Smoking
Dyslipidaemia
Hypertension
Diabetes
Obesity
Family history of heart disease
Elevated markers of inflammation such as CRP
Causes of stable angina pectoris
Atherosclerosis of coronary arteries
Spasm of coronary arteries
Symptoms of stable angina pectoris
Central or precordial chest pain
May radiate into the left arm, neck or jaw
Relieved by rest or glyceryl trinitrate
Investigations in stable angina pectoris
12-Lead ECG
Cardiac enzymes
Blood glucose
Lipid profile
FBC
Chest X-ray
Stress ECG
Echocardiography
Coronary angiography
Which cardiac enzymes are investigated instable angina pectoris
Cardiac troponins
Creatinine Kinase-MB
Treatment objectives in stable angina
To minimize symptoms
To prevent progression to ACS
To identify and manage modifiable risk factors
To improve quality of life
Non-pharmacological treatment options for stable angina
Educate and reassure patient
Diet
Exercise
Weight management
Reduce or quit smoking
Reduce alcohol consumptions
Treatment for acute chest pain in stable angina
Glyceryl trinitrate
and
Aspirin or Clopidogrel
and
Atenolol or Metoprolol or Bisoprolol
or Verapamil
When is isosorbide dinitrate used in stable angina
When beta blockers or verapamil is contraindicated
Dose of atenolol in stable angina
50 to100mg daily
Dose of GTN instable angina
500mcg stat then as required
Dose of aspirin in stable angina
300mg stat then 75mg daily
Dose of bisoprolol in stable angina
5 to 10mg daily
Dose of verapamil in stable angina
80 to 120mg 8 hourly
