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Revision as of 18:59, 27 August 2012
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Chronic stable angina Microchapters | ||
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Classification | ||
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Differentiating Chronic Stable Angina from Acute Coronary Syndromes | ||
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Diagnosis | ||
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Alternative Therapies for Refractory Angina | ||
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Discharge Care | ||
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Guidelines for Asymptomatic Patients | ||
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Case Studies | ||
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Chronic stable angina definition On the Web | ||
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Risk calculators and risk factors for Chronic stable angina definition | ||
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.
Overview
Angina pectoris is a sensation of chest discomfort that is often described as: a feeling of tightness, heaviness, or pain. Angina pectoris is a characteristic of coronary heart disease. When it occurs chronically, this is referred to as stable angina.
Definition of Stable Angina
- Angina pectoris [1] [2] is the sensation of chest discomfort that is often described as a feeling of tightness, heaviness, or pain.
- Angina pectoris is a sign of coronary heart disease. When it occurs chronically, this is termed stable angina. Stable angina pain is typically aggravated by exertion or emotional stress and relieved by rest or nitroglycerin.
- Stable angina pectoris is a clinical diagnosis that is established by a careful assessment of medical history. As the name of the syndrome suggests, chronic stable angina pectoris is chest discomfort that has been present over months to years without substantial acceleration in the severity, provoking stimuli or frequency of the symptoms. This type of chest discomfort is caused by myocardial ischemia which is insufficient in intensity to result in permanent cell death or myocardial necrosis.
Differentiating Stable Angina from Unstable Angina and Acute Coronary Syndromes
- If angina pectoris occurs at rest or in an accelerating pattern this is called an acute coronary syndrome and can be a symptom of either:
- Unstable angina: An open artery with insufficient blood flow to the heart without irreversible damage
- Non ST elevation MI: An open artery with insufficient blood flow to the heart with irreversible damage
- ST elevation MI: A closed artery with insufficient blood flow to the heart and irreversible damage
References
- ↑ 2007 chronic angina focused update of the ACC/AHA 2002 guidelines for the management of patients with chronic stable angina: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines Writing Group to develop the focused update of the 2002 guidelines for the management of patients with chronic stable angina.Fraker TD Jr, Fihn SD; 2002 Chronic Stable Angina Writing Committee; American College of Cardiology; American Heart Association, Gibbons RJ, Abrams J, Chatterjee K, Daley J, Deedwania PC, Douglas JS, Ferguson TB Jr, Gardin JM, O'Rourke RA, Williams SV, Smith SC Jr, Jacobs AK, Adams CD, Anderson JL, Buller CE, Creager MA, Ettinger SM, Halperin JL, Hunt SA, Krumholz HM, Kushner FG, Lytle BW, Nishimura R, Page RL, Riegel B, Tarkington LG, Yancy CW.J Am Coll Cardiol. 2007 Dec 4;50(23):2264-74. No abstract available. Erratum in: J Am Coll Cardiol. 2007 Dec 4;50(23):e1. Pasternak, Richard C [removed].PMID: 18061078
- ↑ ACC/AHA 2002 guideline update for the management of patients with chronic stable angina--summary article: a report of the American College of Cardiology/American Heart Association Task Force on practice guidelines (Committee on the Management of Patients With Chronic Stable Angina).Gibbons RJ, Abrams J, Chatterjee K, Daley J, Deedwania PC, Douglas JS, Ferguson TB Jr, Fihn SD, Fraker TD Jr, Gardin JM, O'Rourke RA, Pasternak RC, Williams SV; American College of Cardiology; American Heart Association Task Force on practice guidelines (Committee on the Management of Patients With Chronic Stable Angina).J Am Coll Cardiol. 2003 Jan 1;41(1):159-68. No abstract available.PMID: 12570960