Stable Angina

Dr Nauman Rahi
Angina Pectoris

 Myocardial Oxygen supply and demand

mismatch

 Stable vs Unstable Angina

 IHD/ Coronary Atherosclerosis is the most

common cause of Angina

Angina Pectoris

 Typical Chest Pain

 Aggravated by Exertion or Emotions

 Relieved by Rest or S/L Nitroglycerin

 Angina Pectoris but Normal
Angiogram!!

 Prinzmetal’s Angina

 Syndrome X
Stable Angina

 “Warm up angina”
Stress Testing

 Exercise tolerance test

 Myocardial perfusion scanning

 Stress echo

 CT Coronary Arteriography

 Invasive coronary angiography

Myocardial Perfusion Scanning
Management
Drug Therapy

 Aspirin 75 mg daily (Or Clopidogrel)

 Statin

 Antianginals
Antianginal Drugs

 Beta Blockers (Cardioselective)

 Nitrates

 Ca Channel Blockers (Non dihydropyridine)

 Nicorandil

 Ranolazine

 Ivabradine
Nonpharmacological Treatments

 If a combination of two antianginals fails to

control symptoms → Revascularization

 PCI vs CABG
Percutaneous Coronary Intervention
Percutaneous Coronary Intervention
CABG