In this episode of the Primary Care Knowledge Boost Podcast Doctors Sara and Lisa talk to Dr Wasim Javed, ST6 in Cardiology, about the diagnosis and management of Angina.
Taking a theoretical case together they talk through symptoms, differentials, diagnosis, including the guidelines and practicalities of different types of functional and non-functional tests, as well types of angina and their management.
They find it was useful to understand the initial management once diagnosed, and where further investigations or referrals/discussions with cardiology come in. They also discuss the difference between medical management and stenting and some of the third line anti-anginal medications.
Listen to the podcast episode at https://pckb.org/e/angina/.
Useful resources
- NICE guidelines on Stable Angina (updated July 2016): https://www.nice.org.uk/guidance/cg126
- European Society of Cardiology 2019 Guideline on Chronic Coronary Syndromes: https://www.escardio.org/Guidelines/Clinical-Practice-Guidelines/Chronic-Coronary-Syndromes
- Life in the Fast Lane (ECG interpretations etc): https://litfl.com/library/
- Traffic Light System for Primary Care Prescribing in Greater Manchester (contains information on what should be started by Specialists etc): https://gmmmg.nhs.uk/rag-category/adult/