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Angina (Stable (Risk factors (Obesity, Diabetes, Hyperlipidaemia,…

- - - - Beta blocker e.g. metoprolol 200-400mg OD
      - CCB e.g. amplodipine 5mg OD (increase to max 10mg OD)
      - Nitrates e.g. isosorbide mononitrate 20mg BD or TDS OR 40mg BD (Max 120mg/day
      - Blood sugar control
      - Antihypertensives
      - Lipid lowering
        
        E.g. atorvastatin 80mg
    - - Aspirin 75-100mg OR clopidogrel 75mg OD
  - - - 2) Pain on exertion
      - 3) Relieved at rest or by GTN spray.
      - Atypical angina
        
        Only 2 of the symptoms of typical angina
      - Typical angina
        
        All 3 main symptoms
- - - - Can be due to infection causing arterial inflammation
    - - NSTE-ACS (Non ST elevation acute coronary syndrome)
  - - - Oxygen - maintain SATS >90%
      - Glyceryl trinitrate sublingual spray - 400-800 micrograms, 1-2 sprays every 3-5 mins, max 3 doses in 15 minutes
      - Morphine 2-5mg IV every 5-30 mins
      - Beta blocker
      - Antiplatelet therapy
    - - Statin
      - Anticoagulation
      - Beta blocker or CCB
      - Coronary catheterisation (coronary angiogram)
      - Antiplatelet therapy