Stable Angina Management

Stable angina is pain or constricting discomfort that typically occurs in the front of the chest ( but may radiate to the neck , shoulders , jaw or arms ) and is brought on by physical exertion or emotional stress.

Stable angina is common Prevalence increases with age for eg in England it affects ( current or had a hx)○ 8 % of men and 3 % of women aged 55-65 yrs○ 14 % of men and 8 % of women aged 65-74 Stable angina predisposes to higher CV mortality Atherosclerotic coronary artery disease( CAD ) is the commonest cause

Stop or minimise symptoms Improve quality of life Reduce long term morbidity and mortality. complications- Stroke MI Unstable angina Sudden cardiac death psychological

Information and support Follow general principles of treatment

short acting nitrates-Issue sublingual GTN and explain how to use Advice to use before planned exercise or exertion Adverse effects as flushing ,headache and light headedness They can repeat the dose in 5 mins If pain not gone 5 mins after 2nd dose to call emergency ambulance ( ie 10 mins total ) or earlier if pain is intensifying or the person is unwell

Optimal Medical Treatment - defined...