Chronic stable angina: Difference between revisions
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'''For patient information, click [[Chronic stable angina (patient information)|here]]''' | |||
{{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.]], {{AAA}} | ||
{{SK}} Stenocardia; angina pectoris; angor pectoris | |||
== | ==[[Chronic stable angina overview|Overview]]== | ||
==[[Chronic stable angina historical perspective|Historical Perspective]]== | |||
[[Chronic stable angina | |||
[[Chronic stable angina | ==Classification== | ||
Classic: [[Chronic stable angina definition|Chronic Stable Angina]] | |||
==[[Chronic stable angina | Atypical: [[Chronic stable angina clinical subset- walk through angina pectoris|Walk through Angina]] | [[Chronic stable angina clinical subset- mixed angina pectoris|Mixed Angina]] | [[Chronic stable angina clinical subset- nocturnal angina pectoris|Nocturnal Angina]] | [[Chronic stable angina clinical subset- postprandial angina pectoris|Postprandial Angina]] | [[Cardiac syndrome X|Cardiac Syndrome X]] | [[Coronary Vasospasm|Vasospastic Angina]] | ||
== [[Chronic stable angina differential diagnosis|Differentiating Chronic Stable Angina from Acute Coronary Syndromes]] == | |||
==[[Chronic stable angina pathophysiology|Pathophysiology]]== | ==[[Chronic stable angina pathophysiology|Pathophysiology]]== | ||
==[[Chronic stable angina epidemiology|Epidemiology and Demographics]]== | ==[[Chronic stable angina epidemiology and demographics|Epidemiology and Demographics]]== | ||
== | ==[[Chronic stable angina risk stratification|Risk Stratification]]== | ||
[[Chronic | [[Chronic stable angina risk stratification electrocardiogram/chest x-ray|ECG/Chest X-Ray]] | [[Chronic stable angina risk stratification based upon rest left ventricular function|Rest LV Function]] | [[Chronic stable angina risk assessment in patients with an intermediate or high probability of coronary artery disease|Exercise Treadmill Test]] | [[Chronic stable angina risk stratification cardiac stress imaging in patients who are able to exercise|Stress Imaging in Patients who are Able to Exercise]] | [[Chronic stable angina risk stratification cardiac stress imaging in patients who are unable to exercise|Stress Imaging in Patients who are Unable to Exercise]] | [[Chronic stable angina risk stratification coronary angiography|Coronary Angiography]] | ||
== | ==[[Chronic stable angina assessing the pretest probability of coronary artery disease| Pretest Probability of CAD in the Patient with Angina]]== | ||
[[Chronic stable angina | |||
==[[Chronic stable angina | ==[[Chronic stable angina prognosis|Prognosis]]== | ||
==Diagnosis== | ==Diagnosis== | ||
[[Chronic stable angina | [[Chronic stable angina history and symptoms|History and Symptoms]] | [[Chronic stable angina physical examination|Physical Examination]] | [[Chronic stable angina test selection guideline for the individual basis|Test Selection Guideline for the Individual Basis]] | [[Chronic stable angina laboratory findings|Laboratory Findings]] | [[Chronic stable angina electrocardiography|Electrocardiography]] | [[Chronic stable angina exercise electrocardiography|Exercise ECG]] | [[Chronic stable angina chest x-ray|Chest X-Ray]] | [[Chronic stable angina perfusion scintigraphy with pharmacologic stress|Myocardial Perfusion Scintigraphy with Pharmacologic Stress]] | [[Chronic stable angina myocardial perfusion scintigraphy|Myocardial Perfusion Scintigraphy with Thallium]] | [[Chronic stable angina echocardiography|Echocardiography]] | [[Chronic stable angina exercise echocardiography|Exercise Echocardiography]] | [[Chronic stable angina positron emission tomography (PET)|Positron Emission Tomography]] | [[Chronic stable angina ambulatory ST segment monitoring|Ambulatory ST Segment Monitoring]] | [[Chronic stable angina electron beam tomography|Electron Beam Tomography]] | [[Chronic stable angina cardiac magnetic resonance imaging|Cardiac Magnetic Resonance Imaging]] | [[Chronic stable angina coronary angiography|Coronary Angiography]] | ||
==[[Chronic stable angina treatment|Treatment]]== | |||
[[Chronic stable angina medical therapy|Medical Therapy]]: | |||
:Anti-platelet Agents: [[Chronic stable angina treatment aspirin|Aspirin]] | [[Chronic stable angina treatment dipyridamole|Dipyridamole]] | [[Chronic stable angina treatment clopidogrel|Clopidogrel]] | |||
:Anti-anginal 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]] | |||
[[Chronic stable angina | [[Chronic stable angina revascularization|Revascularization]]: [[Chronic stable angina revascularization percutaneous coronary intervention|PCI]] | [[Chronic stable angina revascularization coronary artery bypass grafting|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]] | ||
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== | ||
[[Chronic stable angina patient follow-up|Patient Follow-Up]] | [[Chronic | [[Chronic stable angina patient follow-up|Patient Follow-Up]] | [[Chronic stable angina rehabilitation|Rehabilitation]] | ||
==Secondary Prevention== | |||
[[Chronic stable angina secondary prevention|Overview]] | [[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 influenza vaccination|Influenza Vaccination]] | [[Chronic stable angina treatment ACC/AHA guidelines for cardiovascular risk factor reduction|ACC/AHA Guidelines for Cardiovascular Risk Factor Reduction]] | |||
==Guidelines for Asymptomatic Patients== | |||
[[Chronic stable angina risk stratification in asymptomatic patients by noninvasive testing|Noninvasive Testing in Asymptomatic Patients]] | [[Chronic stable angina risk stratification in asymptomatic patients by coronary angiography|Coronary Angiography in Asymptomatic Patients]] | [[Chronic stable angina pharmacotherapy to prevent MI and death in asymptomatic patients|Pharmacotherapy to Prevent MI and Death in Asymptomatic Patients]] | |||
==[[Chronic | ==[[Chronic stable angina landmark trials|Landmark Trials]]== | ||
== | ==Case Studies== | ||
[[chronic stable angina case study one|Case #1]] | |||
== | ==Related Chapters== | ||
*[[Exercise stress testing]] | |||
For other uses of the term [[angina]] | *[[Exercise Tolerance Test Time as an Endpoint for Clinical Trials Evaluating Therapies for Refractory Angina]] | ||
*For other uses of the term angina: [[Unstable angina]], [[Abdominal angina]], [[Ludwig's angina]], [[Prinzmetal's angina]], [[Vincent's angina]], or [[Angina tonsillaris]] | |||
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Latest revision as of 02:32, 18 July 2021
https://https://www.youtube.com/watch?v=zD9aXZY0pdY&t=3s%7C350}} |
For patient information, click here
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., Aysha Aslam, M.B.B.S[3]
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 | Cardiac 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 Findings | 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
- Anti-platelet Agents: Aspirin | Dipyridamole | Clopidogrel
- Anti-anginal 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
Overview | 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