QuestionSBA
QuestionChoice
This is a conservative measure and is used first line, however, the scenario mentions the patient is already undertaking a change in lifestyle measures to help the condition. This would not result in the alleviation of symptoms rapidly.
10000175
e
Smoking cessation
QuestionChoice
GTN spray can be used sublingually to quickly relieve symptoms of angina such as chest pain that occurs from physical activity. This works in minutes and is useful as a 1st line management option to relieve symptoms.
10000171
a
Glyceryl trinitrate (GTN) spray
QuestionChoice
This is often used second-line in the management of angina. Examples include nifedipine or felodipine.
10000172
b
Long-acting calcium channel blockers
QuestionChoice
CABG operations can be used for those with more complex cases of angina which are not adequately managed by medical treatment for example if they have complex 3-vessel disease or left main stem stenosis.
10000173
c
Coronary artery bypass graft (CABG)
QuestionChoice
Digoxin is often used in patients with atrial fibrillation and heart failure or hypotension. It inhibits the Na/K ATPase pump in the myocardium.
10000174
d
Digoxin
Concept
Chapter
2693
3721
Stable angina
Topic
134
Cardiology
12581
A 68-year-old male patient was recently diagnosed with angina by his GP.

He has been following lifestyle advice from his GP to help reduce his risk factors for cardiovascular disease.

Which of the following management options would be useful to relieve symptoms of angina quickly?
a