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Angina

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2008-01-03  History  Add My version 
 (mindmap file created by  ConceptDraw MINDMAP)

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Angina. The modified version of MindMapPedia mind map ID 118326712 \"Angina\". Created by ConceptDraw MINDMAP. Medicine. Cardiology. 
 
outline 
Angina
  Characteristics
  Definition
  Chest pain
  exertion
  minutes in duration
  Types
  Classic angina
  exertion
  pain
  minutes
  rest
  relief
  Variant (Prinzmetal's)
  @ rest
  vasospastic
  Unstable angina
  aka acute coronary syndrome or NSTEMI
  between MI & angina
  @ rest
  atherosclerotic plaque
  fissured
  platelet rich clot
  management
  heparin
  aspirin
  antianginal drugs
  abciximab
  high risk
  Decubitus angina
  lying down
  Cardiac syndrome X
  +ve exercise test
  normal angiogram
  microcirculation problem?
  S&S
  CP
  retrosternal
  crushing
  radiates
  arms
  neck
  Aggravating
  activity
  cold
  anger
  emotion
  Differential
  Chest wall pain
  GORD
  Complications
  MI
  Death
  Management
  Investigations
  Imaging
  radionuleotide
  thalium 201
  technetium 99-labelled sestamibi
  Angiography
  Exercise ECG
  T wave
  ok
  between attacks
  25%
  CAD
  exclude pathology
  inversion
  flattening
  depression
  >1mm
  severe CAD
  BP
  exercise
  paradoxical
  severe CAD
  Treatment
  Aggravating factors
  thyrotoxicosis
  hypercholesterolaemia
  anaemia
  valve disease
  Behavioural
  smoking
  weight
  Aspirin
  75mg/day
  Lipid lowering agents
  cholesterol >4.8mmol/L
  statins
  Beta blockers
  atenolol
  metoprolol
  CI asthma, PVD
  Ca antagonists
  diltiazem
  amlodipine
  nifedipine
  GTN
  in attacks
  prophylactic
  b4 exercise
  SE
  headache
  hypotension
  nitrates
  slow release
  isosorbide mononitrate
  isosorbide dinitrate
  Nicorandil
  K channel activator
  GTN like also
  Surgical
  Angioplasty
  indications
  non-calcified
  single
  proximal
  post-angio
  antiplatelets
  aspirin
  clopidigrel
  abciximab
  platelet glycoprotein IIb/IIIa receptor inhibitors
  CABG
  Prognosis
  stable
  4% mortality/year