Angina and Acute Coronary Syndromes - Summary Notes

can
Angina and ACS
Angina Sectoralis: CAD Risk Factors:
Dull, central chest pain radiating to neck/leftarm,
due to insufficientor for cardiac demand.
supply Age smoking
- -




-

Malesex-CAD FH
·
most
commonly caused by Atherosclerotic Disease/CAD. -


HTN

Hypercholesterolaemia
-




·Types:

3 features of 'typical Angina':1. Constricting pain in chest/neck/shoulder/arm.
2. Exacerbated with exertion.

3. Relieved by restor within minutes.
GTNspray
features: PCI vs. CABG
Only 2
Atypical Angina
8-1 features not -



Angina

Unstable rest / minimal exertion.
Angina:present at

·
Associated with ACS/MI.

Stable at exertion, absent at rest.
Angina:present
Associated with Chronic
Coronary Syndrome, HF, after ACS.
·




·Diagnosis:

History:can be
diagnosed from history based on above features.
·




·
ECG:ST depression
-

look for localised Ischaemia
·

Myocardial Perfusion Scan:induce or demand through
exercise or Adenosine, then assess for regions of ischaemia.
CT/Invasive coronary used high
Angiography: risk patients only.
·
in


·
Treatment:


cholesterol diet,
Lifestyle:smoking cessation, low
weightloss, exercise.


Medication:B-blocker or CaCB ·
gain relief with
+Statin GTN PERFUSION SCAN
spray.
+
aspirin.
statin side effects:

Myalgia, Rhabdo., DM RF.

Angioplasty:PCI/ stent
medication is ineffective unstable.
when
angina
·
or




Coronary Artery Bypass Graft (CABG):
grafted artery is used to bypass lesion area via
coronary artery.
better outcomes, but invasive lopen heart).
·
more


prevents future lesions, unlike 9CI.
·