Angina pectoris
Leave the first rating
Terms in this set (13)
, 1. Aspirin + statin
2. GTN PRN
3. 1st line:
— rate-limiting CCB***
— BB and/or dihydropyridine CCB*. Switch or add if
symptomatic**
4. Second line: if symptomatic, consider one of the
following drugs:
→ long-acting nitrate
→ ivabradine 🇷🇺 🤴
→ nicorandil 🇩🇪 🚶♂️
→ ranolazine 🐸
* longer-acting dihydropyridine CCB (such as
amlodipine, modified-release nifedipine, or
modified-release felodipine)
Stable angina pectoris:
pharmacological **beta-blockers should not be prescribed
treatment concurrently with non-dihydropyridine CCB (risk of
complete heart block). However non-rate limiting
CCB usually cause reflex tachy and therefore are
co-prescribed with BB.
*** A ver. Que este tema es más complicado de lo
que parece.
— If the patient has asthma: start with rate-limiting
CCB. Do not add BB.
— Patients can be started with BB and add a non-
rate-limiting CCB if still symptomatic.
— If started on non-rate-limiting CCB then you
SHOULD add a BB to avoid reflex tachycardia.
if a patient is taking both a beta-blocker and a
calcium-channel blocker then only add a third drug
whilst a patient is awaiting assessment for PCI or
CABG
Leave the first rating
Terms in this set (13)
, 1. Aspirin + statin
2. GTN PRN
3. 1st line:
— rate-limiting CCB***
— BB and/or dihydropyridine CCB*. Switch or add if
symptomatic**
4. Second line: if symptomatic, consider one of the
following drugs:
→ long-acting nitrate
→ ivabradine 🇷🇺 🤴
→ nicorandil 🇩🇪 🚶♂️
→ ranolazine 🐸
* longer-acting dihydropyridine CCB (such as
amlodipine, modified-release nifedipine, or
modified-release felodipine)
Stable angina pectoris:
pharmacological **beta-blockers should not be prescribed
treatment concurrently with non-dihydropyridine CCB (risk of
complete heart block). However non-rate limiting
CCB usually cause reflex tachy and therefore are
co-prescribed with BB.
*** A ver. Que este tema es más complicado de lo
que parece.
— If the patient has asthma: start with rate-limiting
CCB. Do not add BB.
— Patients can be started with BB and add a non-
rate-limiting CCB if still symptomatic.
— If started on non-rate-limiting CCB then you
SHOULD add a BB to avoid reflex tachycardia.
if a patient is taking both a beta-blocker and a
calcium-channel blocker then only add a third drug
whilst a patient is awaiting assessment for PCI or
CABG
