C H A P T E R 4 6
Antianginal agents
727
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ONLINE RESOURCES
An extensive range of additional resources to enhance teaching
and learning and to facilitate understanding of this chapter may
be found online at the text’s accompanying website, located on
thePoint at
These include Watch and
Learn videos, Concepts in Action animations, journal articles,
review questions, case studies, discussion topics and quizzes.
WEB LINKS
Healthcare providers and students may want to explore
information from the following Internet sources:
Heart Foundation in Australia, information on angina,
drug therapy and current research.
Heart Foundation in New Zealand, information on
angina, drug therapy and current research.
BIBLIOGRAPHY
Cruden, N. & Fox, K. (2011). Current approaches to the
management of stable angina.
Prescriber, 22(3)
, 22, 25, 28–31.
Farrell, M. & Dempsey, J. (2014).
Smeltzer & Bare’s Textbook of
Medical-Surgical Nursing
(3rd edn). Sydney: Lippincott Williams
& Wilkins.
Fox, K. (2011). The medical management of stable angina.
British
Journal of Cardiology, 18
(supp 3), s1–s12.
Goodman, L. S., Brunton, L. L., Chabner, B. & Knollmann, B. C.
(2011).
Goodman and Gilman’s Pharmacological Basis of
Therapeutics
(12th edn). New York: McGraw-Hill.
Hawley, C. L. (2013). Guidance on optimal management of stable
angina in general practice.
Primary Care Cardiovascular
Journal, 6(3)
, 112–116.
Hurst, J. W., Fuster, V., Walsh, R. A. & Harrington, R. A.
(Eds.). (2011).
Hurst’s the Heart
(13th edn). New York:
McGraw-Hill.
McKenna, L. (2012).
Pharmacology Made Incredibly Easy
(1st Australian and New Zealand edn). Sydney: Lippincott
Williams & Wilkins.
McKenna, L. & Mirkov, S. (2014).
McKenna’s Drug Handbook for
Nursing and Midwifery
(7th edn). Sydney: Lippincott Williams
& Wilkins.
Porth, C. M. (2011).
Essentials of Pathophysiology: Concepts
of Altered Health States
(3rd edn). Philadelphia: Lippincott
Williams & Wilkins.
Porth, C. M. (2009).
Pathophysiology: Concepts of Altered Health
States
(8th edn). Philadelphia: Lippincott Williams & Wilkins.
Sargent, A. (2011). Prescribing calcium channel blockers.
Nurse
Prescribing, 9(3)
, 137–142.
Shah, A. & Fox, K. (2013). Stable angina: Current guidelines and
advances in management.
Prescriber, 24(17)
, 35–44.
C H E C K Y O U R U N D E R S T A N D I N G
Answers to the questions in this chapter can be found in
Appendix A at the back of this book.
MULTIPLE CHOICE
Select the best answer to the following.
1.
Coronary artery disease results in:
a.
an imbalance in cardiac muscle oxygen supply
and demand.
b.
delivery of blood to the heart muscle during
systole.
c.
increased pulse pressure.
d.
a decreased workload on the heart.
2.
Angina:
a.
causes death of heart muscle cells.
b.
is pain due to lack of oxygen to myocardial cells.
c.
cannot occur at rest.
d.
is not treatable.
3.
Nitrates are commonly used antianginal drugs that
act to:
a.
increase the preload on the heart.
b.
increase the afterload on the heart.
c.
dilate coronary vessels to increase the delivery of
oxygen through those vessels.
d.
decrease venous return to the heart, decreasing
the myocardial workload.
4.
Calcium channel blockers are effective in treating
angina because they:
a.
prevent any cardiovascular exercise, preventing
strain on the heart.
b.
block strong muscle contractions, causing
vasodilation.
c.
alter the electrolyte balance of the heart,
preventing arrhythmias.
d.
increase the heart rate, making it more efficient.
