Stable angina -assessment and diagnosis

Stable angina -Occurs predictably with physical exertion or emotional stress , last for no more than 10 mins ( usually less ) and is relieved within minutes of rest as well as s/l nitrates

Chest pain is very common 1 % of GP visits 5 % of A&E visits 25 % of emergency hospital admissions Coronary artery disease ( CAD ) - one of biggest cause of mortality in the UK causing around 80 000 deaths/ year

Acute coronary syndrome -Includes range of conditions as Unstable angina ST segment myocardial infarction ( STEMI ) non-ST segment MI

CACS- coronary artery calcium score CAD- coronary artery disease CTCA- Computed tomography coronary angiography CMR -cardiac magnetic resonance DSE- dobutamine stress echocardiography ExSE - exercise stress echocardiography ICA- invasive coronoary angiography MPS-SPECT -Myocardial perfusion scintigraphy - single positron emission computed tomography

History- Age , sex Pain characteristic including○ location○ radiation○ severity○ duration○ frequency○ provoking factors and factors that relive the pain Previous hx which indicates established CAD as○ history of angina○ history of myocardial infarction○ coronary revascularization Other cardiovascular disease CV risk factors Examination -Identify risk factors for CV disease Signs of other CV disease Non con-coronary causes of angina assevere aortic stenosiscardiomyopathyguideline...