Angina | Health topics A to Z | CKS - CKS | NICE
Angina is chest pain (or constricting discomfort) caused by an insufficient blood supply to the myocardium. Angina is usually caused by coronary artery disease. Less commonly, angina is caused by valvular disease (for example aortic stenosis), hypertrophic obstructive cardiomyopathy, or hypertensive heart disease.
Management | Angina | CKS | NICE
Scenario: Routine review: Covers the management of people with angina whose symptoms are currently stable on treatment. Scenario: Poor control on treatment : Covers the management of people with angina for whom existing treatment is not adequately controlling their symptoms.
Confirming the diagnosis | Diagnosis | Angina | CKS - CKS | NICE
If the person has typical or atypical anginal pain, refer them to a specialist chest pain service to confirm, or exclude the diagnosis of stable angina. For more information, see the section on managing chest pain in a person who does not require …
Scenario: New diagnosis | Management | Angina | CKS | NICE
Chest pain on minimal exertion with no recent change of symptoms or medication — consider airport assistance and possible in-flight oxygen. Chest pain at rest or a change in symptoms and/or medication — defer travel until stable, or travel with a medical escort and ensure in-flight oxygen is available.
Assessment of stable chest pain | Diagnosis | Angina - CKS
For a description of full assessment of chest pain, see the CKS topic on Chest pain. Stable angina should be suspected on the basis of the clinical assessment, and the typicality of chest pain. Classify the symptoms according to their typicality.
Definition | Background information | Angina | CKS | NICE
Angina is pain (or constricting discomfort) in the chest, neck, shoulders, jaw, or arms caused by an insufficient blood supply to the myocardium.
Cardiac causes | Diagnosis | Chest pain | CKS | NICE
What are the signs and symptoms of cardiac causes of chest pain? Acute coronary syndrome (unstable angina and myocardial infarction). For information on the diagnosis of acute coronary syndrome, see the section on acute coronary syndrome .
Scenario: Routine review | Management | Angina | CKS | NICE
Review the person every 6 months to 1 year depending on the stability of their angina and their comorbidities. Check for ongoing symptoms of angina (at rest or with exercise): If the person is taking anti-anginal treatment but has persistent symptoms, see Scenario: Poor control on treatment for advice on further treatment and referral.
Have I got the right topic? | Angina | CKS - CKS | NICE
This CKS topic covers the diagnosis and management in primary care of people with stable angina. There is a separate CKS topic on Chest pain, which covers the diagnosis of chest pain of recent onset.
Beta-blockers | Prescribing information | Angina | CKS | NICE
The following beta-blockers are licensed for the treatment of angina: propranolol, acebutolol, atenolol, bisoprolol, carvedilol, metoprolol, nadolol, oxprenolol, pindolol, and timolol. There is no good evidence that any one beta-blocker is better than …