3. MTB Step 3 - Chronic Angina

Question 1

CHRONIC ANGINA

1. What are (3) Medications used to treat Chronic Angina?
2. Which (2) Medications from question 1. have a Mortality Benefit?

Answer 1

Chronic Angina medications:

1. Aspirin
2. Metoprolol
3. Nitrates

The 2 medications that have a Mortality Benefit:

1. Aspirin
2. Metoprolol

Question 2

CHRONIC ANGINA

Under which (3) Cardiac Conditions should ACEIs be used in further management of Chronic Angina?

Answer 2

Stable cases with ANY of the following:

1. Congestive Heart Failure (CHF)
2. Systolic Dysfunction
3. Low EF

Question 3

CHRONIC ANGINA

What Test is used to determine Who is a Candidate for Coronary Artery Bypass Grafting (CABG).

Answer 3

Coronary Angiography

Question 4

CHRONIC ANGINA

What are (4) Indications for Coronary Artery Bypass Grafting (CABG).

Answer 4

1. Three Coronary Vessels with > 70% Stenosis
2. Two or Three Coronary Vessels with > 70% Stenosis + Low Ejection Fraction (EF)
3. Two Coronary Vessels with > 70% Stenosis + Diabetes
4. Left Main Coronary Artery with > 50 - 70% Stenosis

Question 5

CHRONIC ANGINA

What Anti-angina Medication can be added if other medications (eg, nitrates) do not control the Pain?

Answer 5

Ranolazine