Chronic stable angina
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Chronic stable angina Microchapters | ||
Classification | ||
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Differentiating Chronic Stable Angina from Acute Coronary Syndromes | ||
Diagnosis | ||
Alternative Therapies for Refractory Angina | ||
Discharge Care | ||
Guidelines for Asymptomatic Patients | ||
Case Studies | ||
Chronic stable angina On the Web | ||
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-In-Chief: Cafer Zorkun, M.D., Ph.D. [2]; Vijay Kunadian, M.D., Ph.D.; Smita Kohli, M.D.; Lakshmi Gopalakrishnan, M.B.B.S.
Synonyms and keywords: Stenocardia; angina pectoris; angor pectoris
Overview
Historical Perspective
Classification
Classic: Chronic stable angina
Atypical: Walk through angina | Mixed angina | Nocturnal angina | Postprandial angina | Syndrome X | Vasospastic angina
Differentiating chronic stable angina from acute coronary syndromes
Pathophysiology
Epidemiology and Demographics
Risk Stratification
ECG/Chest X-Ray | Rest LV Function | Exercise Treadmill Test | Stress imaging in patients who are able to exercise | Stress imaging in patients who are unable to exercise | Coronary Angiography
Pretest probability of CAD in the patient with angina
Prognosis
Diagnosis
History and Symptoms | Physical Examination | Test selection guideline for the individual basis | Laboratory Tests | Electrocardiography | Exercise ECG | Chest x-ray | Myocardial Perfusion Scintigraphy with Pharmacologic Stress | Myocardial Perfusion Scintigraphy with Thallium | Echocardiography | Exercise Echocardiography | Positron Emission Tomography | Ambulatory ST Segment Monitoring | Electron Beam Tomography | Cardiac Magnetic Resonance Imaging | Coronary Angiography
Treatment
- Antiplatelet agents: Aspirin | Dipyridamole | Clopidogrel
- Antianginal agents: Nitrates | Beta Blockers | Calcium Channel Blockers | Potassium channel openers | Newer Anti-anginal Agents
Revascularization: PCI | CABG | Guidelines for Revascularization
- PCI vs Medical Therapy | CABG vs Medical Therapy | PCI and CABG versus Medical Therapy | PCI vs CABG
Alternative therapies for refractory angina: Transmyocardial Revascularization (TMR) | Spinal Cord Stimulation (SCS) | Enhanced External Counter Pulsation (EECP) | ACC/AHA Guidelines for Alternative Therapies in patients with Refractory Angina
Discharge Care
Patient Follow-Up | Rehabilitation
Secondary Prevention
Smoking cessation | Weight management | Physical activity | Lipid management | BP control | Diabetes control | Influenza Vaccination | ACC/AHA Guidelines for Cardiovascular Risk Factor Reduction
Guidelines for Asymptomatic Patients
Noninvasive Testing in Asymptomatic Patients | Coronary Angiography in Asymptomatic Patients | Pharmacotherapy to Prevent MI and Death in Asymptomatic Patients
Related Chapters
- Exercise stress testing
- Exercise Tolerance Test Time as an Endpoint for Clinical Trials Evaluating Therapies for Refractory Angina
- For other uses of the term angina: Abdominal angina, Ludwig's angina, Prinzmetal's angina, Vincent's angina, or Angina tonsillaris
Landmark Trials
Textbook: COURAGE
Video: Dr. C. Micheal Gibson and lead author William Boden debate the results of COURAGE
Slides:
- Results of the COURAGE trial in english
- Results of the COURAGE trial in spanish
- Results of the economic substudy of the COURAGE trial
- Dr. Dean Kereiakes offers a critique of the COURAGE trial
- Dr. Duane Pinto puts the COURAGE results into perspective