QuestionSBA
QuestionChoice
This medication uses nitrates to relieve the symptoms of angina by dilating coronary vessels.

1-2 sprays should be used under the tongue when symptoms start. if unsuccessful, another dose can be given after 5 minutes. If symptoms persistent after three doses every 5 minutes, the patient should seek medical attention.

This is not used as secondary prevention for cardiovascular disease but as symptomatic relief for angina pain.
10005921
a
Glyceryl trinitrate (GTN) spray
QuestionChoice
This is an antiplatelet medication; 75mg is taken once daily. This is used along with another antiplatelet such as clopidogrel for 12 months.

there is evidence that this helps prevent another such event and the current disease from worsening.

This is outdated as primary prevention and is no longer used in these cases.
10005923
c
Aspirin
QuestionChoice
Atorvastatin 80mg once daily are advised following an acute coronary syndrome. This medication aims to reduce the cholesterol and has been found to reduce the rate of recurrent disease and the need for revascularisation procedures.
10005922
b
Atorvastatin
QuestionChoice
Secondary prevention can be easily remembered by the 6As:

> Aspirin 75mg daily
>
> Another antiplatelet such as clopidogrel for up to 12 months
>
> ACE Inhibitor such as ramipril
>
> Atenolol
>
> Atorvastatin 80mg once daily
>
> Aldosterone antagonist for those with clinical heart failure
10005925
e
Atenolol
QuestionChoice
These reduce the effects of the renin-angiotensin- aldosterone system and therefore can help treat and prevent hypertension.

Research has also shown that they improve oxidative stress, endothelial and ventricular function.
10005924
d
ACE inhibitors
Concept
Chapter
2693
3713
Myocardial infarction and Acute Coronary Syndrome (ACS)
Topic
134
Cardiology
13731
A 70 year old is discharged from hospital following a Myocardial Infarction (MI)

He is prescribed secondary prevention.

What is NOT included in this?
a