Angina

Question 1

Give 5 symptoms of angina

Answer 1

• sudden onset severe chest pain
• retrosternal pain
• pain radiating to jaw/neck/arms
• aggravated by cold/exertion/stress
• alleviated by rest
• dyspnoea
• excessive fatigue for exercise done

Question 2

Give 5 signs of angina

Answer 2

• tar staining
• xanthelasma
• oedema
• obesity
• corneal arcus
• AAA bruits
• hypertension
• retinopathy

Question 3

Give 5 investigations you would do for angina

Answer 3

• FBC
• lipid profile
• fasting glucose
• electrolytes
• liver and thyroid tests
• CXR
• ECG
• ETT
• myocardial perfusion imaging
• CTCA
• andiography
• cardiac catheterisation

Question 4

Give 5 treatments for angina

Answer 4

• address and treat underlying risk factors
• beta blockers
• CCBs
• ACEIs
• aspirin/clopidogrel
• statins
• nitrates
• PCI
• CABG