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]]:''' | |||
''' | :*'''Antiplatelet agents:''' [[Chronic stable angina treatment aspirin|Aspirin]] | [[Chronic stable angina treatment dipyridamole|Dipyridamole]] | [[Chronic stable angina treatment clopidogrel|Clopidogrel]] | ||
'''[[Chronic stable angina | :*'''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 anti-lipid agents|Anti-lipid agents]]''' | ||
* | :*[[Chronic stable angina guidelines for pharmacotherapy to improve prognosis and reduce symptoms|Guidelines for pharmacotherapy to improve prognosis and reduce symptoms]] | ||
*'''[[Chronic stable angina | *'''[[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 percutaneous coronary intervention versus coronary artery bypass grafting|PCI vs CABG]] | [[Chronic stable angina ACC/AHA guidelines for revascularization|ACC/AHA Guidelines for Revascularization]] | ||
* | *'''[[Chronic stable angina alternative therapies for refractory angina|Alternative therapies for refractory angina]]:''' [[Chronic stable angina transmyocardial revascularization(TMR)|Transmyocardial Revascularization]] | [[Chronic stable angina spinal cord stimulation(SCS)|Spinal Cord Stimulation]] | [[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]] | ||
'''[[Chronic stable angina alternative therapies for refractory angina|Alternative therapies for refractory angina]]:''' [[Chronic stable angina transmyocardial revascularization(TMR)|Transmyocardial Revascularization]] | [[Chronic stable angina spinal cord stimulation(SCS)|Spinal Cord Stimulation]] | [[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== | ||
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==[[Chronic stable angina secondary prevention|Secondary Prevention]]== | ==[[Chronic stable angina secondary prevention|Secondary Prevention]]== | ||
[[Chronic stable angina treatment smoking cessation|Smoking cessation]] | [[Chronic stable angina treatment weight management|Weight management]] | [[Chronic stable angina treatment physical activity|Physical activity]] | [[Chronic stable angina treatment lipid management|Lipid management]] | [[Chronic stable angina treatment blood pressure control|BP control]] | [[Chronic stable angina treatment diabetes control|Diabetes control]] | [[Chronic stable angina treatment ACC/AHA guidelines for cardiovascular risk factor reduction|ACC/AHA Guidelines for Cardiovascular Risk Factor Reduction]] | |||
==Guidelines for Asymptomatic Patients== | ==Guidelines for Asymptomatic Patients== |
Revision as of 03:43, 7 September 2011
For patient information click here
Chronic stable angina | |
ICD-10 | I20 |
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ICD-9 | 413 |
DiseasesDB | 8695 |
MeSH | D000787 |
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
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 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
- Antiplatelet agents: Aspirin | Dipyridamole | Clopidogrel
- Antianginal agents: Nitrates | Beta Blockers | Calcium Channel Blockers | Potassium channel openers | Newer Anti-anginal Agents
- 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
Smoking cessation | Weight management | Physical activity | Lipid management | BP control | Diabetes control | 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 | 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