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6 Cards in this Set

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Treatment for Angina

Reduce myocardial oxygen demand and increase oxygen supply


- Betablockers: Atenolol or Metoprolol


- CCB: Diltiazem or Verapamil


- Nitrates: GTN or Transdermal



Additional: Amlodipine w/betablocker, Ivabradine

Treatment for Atrial Fibrillation

Slow ventricular rate through Rhythm or Rate control



Rate control -


Beta-blockers: Atenolol or Metoprolol


CCB: Diltiazem or Verapamil


Digoxin


CHADS score factors

- 1 point for 65-74, female, hypertension, diabetes mellitus, heart failure, vascular disease


- 2 point for >75, previous stroke or transient ischaemic attack



For a score of 1 treat with aspirin or oral anticoagulant. For a score of 2 or more treat with anticoagulant.

Treatment for Heart Failure

- ACE-Inhibitor/Sartan


- Betablocker: Bisoprolol, Carvedilol, Metoprolol and Nevivolol


- Aldosterone Antagonist: eplerone and low-dose spironolactone


- Digoxin


- Loop Diuretics

Treatment for Hypertension

First line therapy


ACE inhibitors


ARB


Dihydropyridine CCB


Diuretics


Betablockers



Second line therapy


Potassium-sparing diuretics: Spironolactone, Amiloride


Alpha-blockers: Prazosin, Terazosin


Centrally acting anti-adrenergic: Methyldopa, Moxinidine, Clonidine


Direct-acting vasodilators

Treatment for STEMI

Betablocker


ACE-I


CCB: only for post-MI angina


Nitrate


Statin: Should be initiated in hospital