Chronic stable angina: Difference between revisions
No edit summary |
No edit summary |
||
Line 1: | Line 1: | ||
'''For patient information click [[Chronic stable angina (patient information)|here]]''' | |||
{{Infobox_Disease | {{Infobox_Disease | ||
| Name = {{PAGENAME}} | | Name = {{PAGENAME}} | ||
Line 13: | Line 13: | ||
}} | }} | ||
{{Chronic stable angina}} | {{Chronic stable angina}} | ||
{{CMG}}; '''Associate | {{CMG}}; '''Associate Editor(s)-In-Chief:''' {{CZ}}; Vijay Kunadian, M.D., Ph.D.; Smita Kohli, M.D.; [[Lakshmi Gopalakrishnan]], M.B.B.S. | ||
'''''Synonyms and keywords:''''' Stenocardia, angina pectoris, angor pectoris | '''''Synonyms and keywords:''''' Stenocardia, angina pectoris, angor pectoris | ||
Line 21: | Line 21: | ||
==[[Chronic stable angina introduction|Overview]]== | ==[[Chronic stable angina introduction|Overview]]== | ||
'''Angina pectoris''', commonly known as '''angina''', is [[chest pain]] due to [[ischemia]] (a lack of blood and subsequent lack of [[oxygen]] supply) of the [[myocardium|heart muscle]], generally due to obstruction or spasm of the [[coronary circulation|coronary arteries]] (the heart's blood vessels). [[Coronary heart disease|Coronary artery disease]] or atherosclerosis of the coronary arteries is the most common cause of angina. The term derives from the [[Greek language|Greek]] ''ankhon'' ("strangling") and the [[Latin]] ''pectus'' ("chest") meaning "a strangling feeling in the chest". In [[angina pectoris]], symptomatic onset may include [[chest discomfort]] indicated by a feeling of tightness, heaviness, or pain in the chest cavity. | |||
==[[Chronic stable angina historical perspective|Historical Perspective]]== | ==[[Chronic stable angina historical perspective|Historical Perspective]]== |
Revision as of 17:46, 28 July 2011
For patient information click here
Chronic stable angina | |
ICD-10 | I20 |
---|---|
ICD-9 | 413 |
DiseasesDB | 8695 |
MeSH | D000787 |
Chronic stable angina Microchapters | ||
Classification | ||
---|---|---|
| ||
| ||
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
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
Angina pectoris, commonly known as angina, is chest pain due to ischemia (a lack of blood and subsequent lack of oxygen supply) of the heart muscle, generally due to obstruction or spasm of the coronary arteries (the heart's blood vessels). Coronary artery disease or atherosclerosis of the coronary arteries is the most common cause of angina. The term derives from the Greek ankhon ("strangling") and the Latin pectus ("chest") meaning "a strangling feeling in the chest". In angina pectoris, symptomatic onset may include chest discomfort indicated by a feeling of tightness, heaviness, or pain in the chest cavity.
Historical Perspective
Classification Scheme
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
Risk factor modifications: Smoking cessation | Weight management | Physical activity | Lipid management | BP control | Diabetes control | ACC/AHA Guidelines for Cardiovascular Risk Factor Reduction
- Antiplatelet agents: Aspirin | Dipyridamole | Clopidogrel
- Antianginal agents: Nitrates | Beta Blockers | Calcium Channel Blockers | Newer Anti-anginal Agents
Revascularization: PCI | CABG | PCI vs CABG | ACC/AHA Guidelines for Revascularization
Alternative therapies for refractory angina: Transmyocardial Revascularization | Spinal Cord Stimulation | 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 | Coronary Angiography in Asymptomatic Patients | Pharmacotherapy to Prevent MI and Death in Asymptomatic Patients | Revascularization with PCI and CABG 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