Angina Pectoris
SX â CP, SOB, heaviness, pressure, radiation, dyspnea on exertion, choking, N/V.
Stage 1: only with unusual strenuous activity.
Stage 2: w/ slightly more than usual ADL.
Stage 3: Angina w/ usual daily activity.
Stage 4: Angina at rest.
PE â CV (tachycardia), lungs (tachypnea).
Next Steps
DX â Lipids, EKG (ST segment depression), Echo (EF). CXR, exercise stress test. ⢠Imaging (stress echo, coronary angiography = coronary cath).
Health Tips
TX â 1) Non Medical Options: Exercise. Healthly low salt, low fat diet. Minimize stress. No smoking. 2) Medical Treatment: ⢠Aspirin (81mg or 325mg) daily, or Clopidogrel 75mg QD. ⢠Blood Pressure medicine (Eg: atenolol, metoprolol, benazepril, amlodipine etc). ⢠Nitroglycerin 0.4mg, as needed only for chest pain, AND Isosorbide Mononitrate Extended Release 30mg daily. ⢠Cholesterol lowering medicines (Eg: Pravastatin, Ezetimibe). 3) Surgical options: Include Angioplasty with Stent placement, and the famous Coronary Artery Bypass Graft (CABG).