Angina Treatment and Management Quiz
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Questions and Answers

What is the primary purpose of using nitroglycerin during an angina crisis?

  • It stabilizes blood pressure.
  • It acts as a long-term preventive measure.
  • It can reduce cholesterol levels.
  • It helps to immediately relieve chest pain. (correct)

Which of the following is NOT a standard background treatment strategy for angina?

  • Control of cardiovascular risk factors.
  • Use of platelet aggregation inhibitors.
  • Administration of opioid pain relievers. (correct)
  • Prescribing statins.

In which condition are ACE inhibitors or ARBs indicated as a part of the treatment for angina?

  • When the patient reports excessive sweating.
  • If the patient is experiencing severe headaches.
  • In the presence of left ventricular dysfunction. (correct)
  • If there is a history of allergic reactions.

Which combination of medications is suggested if angina persists despite initial treatment?

<p>Beta-blockers and calcium channel blockers dihydropyridine. (B)</p> Signup and view all the answers

Which lifestyle change is a recommended part of treating angina?

<p>Engaging in regular physical activity. (B)</p> Signup and view all the answers

Which combination of medications is recommended if angina persists without a contraindication to beta-blockers?

<p>BB + ICa dihydropyridine + DN or molsidomine + trimetazidine (A)</p> Signup and view all the answers

What is NOT an indication for myocardial revascularization?

<p>Severe hypertension uncontrolled by medication (C)</p> Signup and view all the answers

What is a key step in patient follow-up after treatment for chronic coronary syndromes?

<p>Comprehensive evaluation of atherosclerotic disease (B)</p> Signup and view all the answers

Which medication can be used as an alternative if beta-blockers are contraindicated?

<p>ICa non-dihydropyridine (e.g., diltiazem or verapamil) (C)</p> Signup and view all the answers

Which condition is NOT associated with significant ischemia tests indicating severe ischemia for revascularization consideration?

<p>Mild peripheral artery disease (A)</p> Signup and view all the answers

Flashcards

Refractory angina

Angina that doesn't improve with standard medical treatments.

LV dysfunction

Left Ventricle of the heart isn't working properly.

Myocardial revascularization

Procedures to improve blood flow to the heart muscle.

Angina treatment escalation

Add medications like ICa dihydropyridine, DN, molsidomine, or trimetazidine if angina persists despite beta-blockers.

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Atherosclerotic disease evaluation

Checking for the presence of atherosclerosis in other arteries besides the coronary arteries.

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Angina Crisis Treatment

Use nitroglycerin sublingually (tablet or spray) during angina attacks; can also be used before exertion to prevent attacks.

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Background Angina Treatment

Managing underlying cardiovascular risk factors, lifestyle, education, and using medications like aspirin, clopidogrel, statins, and ACE inhibitors (or ARBs), or SGLT2 inhibitors, GLP-1 analogues, or beta-blockers and calcium channel blockers to prevent future attacks

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Nitroglycerin Use

A medication used to relieve angina pain, available as tablets or spray; should be carried by patients for use if needed.

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Aspirin and Clopidogrel

Platelet aggregation inhibitors used to prevent blood clots, often used in angina treatment.

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Statins in Angina Treatment

Medications that lower cholesterol used to manage angina to reduce risk further, along with lifestyle.

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