Chronic stable angina: Difference between revisions

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==[[Chronic stable angina treatment|Treatment]]==
==[[Chronic stable angina treatment|Treatment]]==
*'''[[Chronic stable angina pharmacotherapy overview|Pharmacotherapy]]:'''
[[Chronic stable angina pharmacotherapy overview|Pharmacotherapy]]:


:*'''Antiplatelet agents:''' [[Chronic stable angina treatment aspirin|Aspirin]] | [[Chronic stable angina treatment dipyridamole|Dipyridamole]] | [[Chronic stable angina treatment clopidogrel|Clopidogrel]]
*Antiplatelet agents: [[Chronic stable angina treatment aspirin|Aspirin]] | [[Chronic stable angina treatment dipyridamole|Dipyridamole]] | [[Chronic stable angina treatment clopidogrel|Clopidogrel]]


:*'''Antianginal agents:''' [[Chronic stable angina nitrate therapy|Nitrates]] | [[Chronic stable angina beta blocker therapy|Beta Blockers]] | [[Chronic stable angina treatment calcium channel blockers|Calcium Channel Blockers]] | [[Chronic stable angina treatment potassium channel openers|Potassium channel openers]] | [[Chronic stable angina newer antianginal agents|Newer Anti-anginal Agents]]
*Antianginal agents: [[Chronic stable angina nitrate therapy|Nitrates]] | [[Chronic stable angina beta blocker therapy|Beta Blockers]] | [[Chronic stable angina treatment calcium channel blockers|Calcium Channel Blockers]] | [[Chronic stable angina treatment potassium channel openers|Potassium channel openers]] | [[Chronic stable angina newer antianginal agents|Newer Anti-anginal Agents]]


:*'''[[Chronic stable angina treatment angiotensin converting enzyme inhibitors (ACEI) and renin angiotensin aldosterone system blockers (RAAS blockers)|ACEI/RAAS blockers]]'''
*[[Chronic stable angina treatment angiotensin converting enzyme inhibitors (ACEI) and renin angiotensin aldosterone system blockers (RAAS blockers)|ACEI/RAAS blockers]]


:*'''[[Chronic stable angina treatment anti-lipid agents|Anti-lipid agents]]'''
*[[Chronic stable angina treatment anti-lipid agents|Anti-lipid agents]]


:*[[Chronic stable angina guidelines for pharmacotherapy to improve prognosis and reduce symptoms|Guidelines for Pharmacotherapy]]
*[[Chronic stable angina guidelines for pharmacotherapy to improve prognosis and reduce symptoms|Guidelines for Pharmacotherapy]]


*'''[[Chronic stable angina revascularization|Revascularization]]:''' [[Chronic stable angina revascularization percutaneous coronary intervention(PCI)|PCI]] | [[Chronic stable angina revascularization coronary artery bypass grafting(CABG)|CABG]] | [[Chronic stable angina guidelines for revascularization to improve prognosis and reduce symptoms|Guidelines for Revascularization]]
[[Chronic stable angina revascularization|Revascularization]]: [[Chronic stable angina revascularization percutaneous coronary intervention(PCI)|PCI]] | [[Chronic stable angina revascularization coronary artery bypass grafting(CABG)|CABG]] | [[Chronic stable angina guidelines for revascularization to improve prognosis and reduce symptoms|Guidelines for Revascularization]]


:*[[Chronic stable angina percutaneous coronary intervention versus medical therapy|PCI vs Medical Therapy]] | [[Chronic stable angina coronary artery bypass grafting versus medical therapy|CABG vs Medical Therapy]] | [[Chronic stable angina PCI and CABG versus medical therapy|PCI and CABG versus Medical Therapy]] | [[Chronic stable angina percutaneous coronary intervention versus coronary artery bypass grafting|PCI vs CABG]]  
*[[Chronic stable angina percutaneous coronary intervention versus medical therapy|PCI vs Medical Therapy]] | [[Chronic stable angina coronary artery bypass grafting versus medical therapy|CABG vs Medical Therapy]] | [[Chronic stable angina PCI and CABG versus medical therapy|PCI and CABG versus Medical Therapy]] | [[Chronic stable angina percutaneous coronary intervention versus coronary artery bypass grafting|PCI vs CABG]]  


*'''Alternative therapies for refractory angina:''' [[Chronic stable angina transmyocardial revascularization(TMR)|Transmyocardial Revascularization (TMR)]] | [[Chronic stable angina spinal cord stimulation(SCS)|Spinal Cord Stimulation (SCS)]] | [[Chronic stable angina enhanced external counter pulsation(EECP)|Enhanced External Counter Pulsation (EECP)]] | [[Chronic stable angina ACC/AHA guidelines for alternative therapies in patients with refractory angina|ACC/AHA Guidelines for Alternative Therapies in patients with Refractory Angina]]
Alternative therapies for refractory angina: [[Chronic stable angina transmyocardial revascularization(TMR)|Transmyocardial Revascularization (TMR)]] | [[Chronic stable angina spinal cord stimulation(SCS)|Spinal Cord Stimulation (SCS)]] | [[Chronic stable angina enhanced external counter pulsation(EECP)|Enhanced External Counter Pulsation (EECP)]] | [[Chronic stable angina ACC/AHA guidelines for alternative therapies in patients with refractory angina|ACC/AHA Guidelines for Alternative Therapies in patients with Refractory Angina]]


==Discharge Care==
==Discharge Care==

Revision as of 19:44, 16 January 2013

For patient information click here

Chronic stable angina Microchapters

Acute Coronary Syndrome Main Page

Home

Patient Information

Overview

Historical Perspective

Classification

Classic
Chronic Stable Angina
Atypical
Walk through Angina
Mixed Angina
Nocturnal Angina
Postprandial Angina
Cardiac Syndrome X
Vasospastic Angina

Differentiating Chronic Stable Angina from Acute Coronary Syndromes

Pathophysiology

Epidemiology and Demographics

Risk Stratification

Pretest Probability of CAD in a Patient with Angina

Prognosis

Diagnosis

History and Symptoms

Physical Examination

Test Selection Guideline for the Individual Basis

Laboratory Findings

Electrocardiogram

Exercise ECG

Chest X Ray

Myocardial Perfusion Scintigraphy with Pharmacologic Stress

Myocardial Perfusion Scintigraphy with Thallium

Echocardiography

Exercise Echocardiography

Computed coronary tomography angiography(CCTA)

Positron Emission Tomography

Ambulatory ST Segment Monitoring

Electron Beam Tomography

Cardiac Magnetic Resonance Imaging

Coronary Angiography

Treatment

Medical Therapy

Revascularization

PCI
CABG
Hybrid Coronary Revascularization

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

Guidelines for Asymptomatic Patients

Noninvasive Testing in Asymptomatic Patients
Risk Stratification by Coronary Angiography
Pharmacotherapy to Prevent MI and Death in Asymptomatic Patients

Landmark Trials

Case Studies

Case #1

Chronic stable angina On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Chronic stable angina

CDC onChronic stable angina

Chronic stable angina in the news

Blogs on Chronic stable angina

to Hospitals Treating Chronic stable angina

Risk calculators and risk factors for Chronic stable angina

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

This article is about chest pain due to oxygen shortage in the heart. For other uses of the term angina such as abdominal angina, Ludwig's angina, Prinzmetal's angina, Vincent's angina, or angina tonsillaris, click here.

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

Pharmacotherapy:

Revascularization: PCI | CABG | Guidelines for Revascularization

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

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

Angina in the News

Updated news on angina and antianginals

Related Chapters


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