{"id":287,"date":"2017-03-26T12:33:57","date_gmt":"2017-03-26T12:33:39","guid":{"rendered":"http:\/\/papergp.com\/index.php\/cardiovascular\/angina\/"},"modified":"2023-01-24T11:25:25","modified_gmt":"2023-01-24T11:25:25","slug":"angina","status":"publish","type":"page","link":"https:\/\/papergp.com\/index.php\/cardiovascular\/angina\/","title":{"rendered":"Angina"},"content":{"rendered":"<div class=\"content-box-blue\">\n<h4>Data gathering<\/h4>\n<ul>\n<li>See <a href=\"https:\/\/papergp.com\/index.php\/cardiovascular\/chest-pain\/\">chest pain<\/a><\/li>\n<\/ul>\n<\/div>\n<div class=\"content-box-blue\">\n<h4><strong>Clinical management<\/strong><\/h4>\n<ul>\n<li>Investigations\n<ul>\n<li>Bloods\n<ul>\n<li>FBC, U+E, TFTs, LFTs, fasting glucose, cholesterol<\/li>\n<\/ul>\n<\/li>\n<li>ECG<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li>Explanation\n<ul>\n<li>Pain due to reduced blood supply to heart muscle due to narrowing of heart arteries.<\/li>\n<li>Heart muscle receives enough blood while resting but it is unable to get enough blood when it requires it e.g. during exertion.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li>Treatment\n<ul>\n<li>Medications\n<ul>\n<li>Aspirin 75mg OD<\/li>\n<li>GTN\n<ul>\n<li>Relaxes blood vessels, reducing load on heart<\/li>\n<li>2 sprays under tongue, rest, repeat 5 mins<\/li>\n<li>If not pain-free after 3rd use (15 mins) then call ambulance<\/li>\n<\/ul>\n<\/li>\n<li>\u03b2-blocker\n<ul>\n<li>Consider if patient requiring regular usage of GTN<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<li>Refer\n<ul>\n<li>Rapid access chest pain clinic<\/li>\n<\/ul>\n<\/li>\n<li>Lifestyle\n<ul>\n<li>Smoking cessation<\/li>\n<li>Diet, exercise, reduce alcohol<\/li>\n<\/ul>\n<\/li>\n<li>Other\n<ul>\n<li>BP control<\/li>\n<li>Immunisations<\/li>\n<li>Inform DVLA (cannot hold HGV)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li>Follow-up \/ Safety net\n<ul>\n<li>Not controlled by GTN<\/li>\n<li>Change in severity, duration or triggers<\/li>\n<li>Symptoms worsening despite \u03b2-blocker + Calcium channel blocker<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/div>\n<div class=\"content-box-blue\">\n<h4>Reference<\/h4>\n<ul>\n<li><a href=\"https:\/\/www.croydonhealthservices.nhs.uk\/Downloads\/GP_resources\/Events%20and%20Training\/Presentations\/2014\/Ischaemic%20HD\/Stable%20Angina%20Pathway%20.pdf\">The New Croydon Pathway for Stable Angina<\/a><\/li>\n<li><a href=\"https:\/\/gps.camdenccg.nhs.uk\/cdn\/serve\/pathway-downloads\/1510757293-152c5ce3d249397ecd851ee638f88d0c.pdf\">Camden CCG Chest Pain Pathway<\/a><\/li>\n<\/ul>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Data gathering See chest pain Clinical management Investigations Bloods FBC, U+E, TFTs, LFTs, fasting glucose, cholesterol ECG Explanation Pain due to reduced blood supply to heart muscle due to narrowing of heart arteries. Heart muscle receives enough blood while resting but it is unable to get enough blood when it requires it e.g. during exertion. &hellip; <a href=\"https:\/\/papergp.com\/index.php\/cardiovascular\/angina\/\" class=\"more-link\">Continue reading <span class=\"screen-reader-text\">Angina<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":284,"menu_order":47,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-287","page","type-page","status-publish","hentry"],"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/287","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/comments?post=287"}],"version-history":[{"count":10,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/287\/revisions"}],"predecessor-version":[{"id":2389,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/287\/revisions\/2389"}],"up":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/284"}],"wp:attachment":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/media?parent=287"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}