Cardiovascular · UKMLA & AKT

Stable angina

A free high-yield preview for the UKMLA Applied Knowledge Test, covering how to recognise this condition. The full SA Note notes add investigations, management and complications, with practice questions on this topic.

Key high-yield points

  • Central chest pain - heavy/tight, brought on by exertion, cold, emotional stress, or large meal
  • Radiation - left arm, jaw, neck, shoulder, or epigastrium
  • Relief - resolves within 2-5 minutes of rest or sublingual GTN; if not, consider alternative diagnosis
  • Reproducible - same exertion threshold reliably triggers symptoms; patient can predict onset

Distinguish stable from unstable: pain at rest, pain on minimal exertion (e.g. getting dressed), or rapidly progressive symptoms = unstable angina - admit urgently.

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