Angina

Question 1

what is the gold standard investigation for angina

Answer 1

CT coronary angiography

would also want to do ECG, FBC, U+E, LFT, TFT, HbA1C, and lipid profile

Question 2

what are 4 key points in the management for angina

Answer 2

1. refer to cardiology (urgent if unstable)
2. safety net
3. medical treatment
4. surgical intervention

Question 3

what are the different medical options in the treatment of angina

Answer 3

1. relief of symptons (GTN)
2. symptom prevention (BB, CCB)
3. secondary prevention

Question 4

what are the medications used in secondary prevention for angina

Answer 4

asprin
atorvastatin
ACEi
Atenolol

Question 5

what surgical options are there for severe angina

Answer 5

percutaneous coronary intervention with angioplasty

coronary artery bypass graft