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Angina - Coggle Diagram
Angina
Holistic management
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Education on diagnosis including risk factor and exacerbating factors, progression and management
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Give information on work, driving, sexual activity and flying.
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Assessment
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Typical angina
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Constricting discomfort in the front of the chest, in the neck, shoulders, jaw or arms
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Atypical angina
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Also with atypical symptoms including: gastrointestinal discomfort, and/or breathlessness and/or nausea
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Differential Diagnosis
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Gastrointestinal causes
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Peptic ulcer disease, gastro-oesophageal reflux, oesophageal spasm, oesophagitis
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Risk factors:
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Co-morbidities
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Rheumatoid arthritis, systemic lupus erythematosus, and other systemic inflammatory disorders
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When to referr
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Refer if there is doubt about the diagnosis, presence of several risk factors or a strong family history, person's preference for referral
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Confirming Diagnosis
For typical or atypical angina pain: Refer to specialist chest pain service to confirm/exclude the diagnosis
Stable Angina cannot `be excluded on clinical assessment alone: Organize resting 12-lead ECG as soon as possible after presentation
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Definition: Angina is pain (or constricting discomfort) in the chest, neck, shoulders, jaw or arms cause by an insufficient blood supply to the myocardium.
Stable Angina: Occurs predictably with physical exertion or emotional stress, lasts no longer than 10 minutes, and is relieved within minutes of rest, as well as sublingual nitrates.
Unstable angina: New onset angina or abrupt deterioration in previously stable angina, often occurring at rest. Usually required immediate admission/referral to hospital.