Chronic stable angina: Difference between revisions
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==[[Chronic stable angina epidemiology|Epidemiology and Demographics]]== | ==[[Chronic stable angina epidemiology|Epidemiology and Demographics]]== | ||
==Risk Stratification | ==Risk Stratification== | ||
[[Chronic stable angina risk stratification|Overview]] | [[Chronic stable angina risk stratification electrocardiogram/chest x-ray|ECG/Chest X-Ray]] | [[Chronic stable angina risk assessment in patients with an intermediate or high probability of coronary artery disease|Risk Assessment in patients with an Intermediate or High probability of CAD]] | [[Chronic stable angina risk stratification rest left ventricular function|Rest LV Function]] | [[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 risk stratification overview|Overview]] | [[Chronic stable angina risk stratification electrocardiogram/chest x-ray|ECG/Chest X-Ray]] | [[Chronic stable angina risk assessment in patients with an intermediate or high probability of coronary artery disease|Risk Assessment in patients with an Intermediate or High probability of CAD]] | [[Chronic stable angina risk stratification rest left ventricular function|Rest LV Function]] | [[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 probability of coronary artery disease| Pretest probability of CAD in the patient with angina]]== | ==[[Chronic stable angina probability of coronary artery disease| Pretest probability of CAD in the patient with angina]]== | ||
==[[Chronic stable angina prognosis|Prognosis]]== | |||
==Diagnosis== | ==Diagnosis== | ||
[[Chronic stable angina | [[Chronic stable angina symptoms|History and Symptoms]] | [[Physical Examination]] | [[Chronic stable angina test selection guideline for the individual basis|Test selection guideline for the individual basis]] | [[Chronic stable angina initial laboratory tests|Laboratory Tests]] | [[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 treatment|Treatment]]== | ||
Revision as of 03:52, 22 July 2011
| Chronic stable angina | |
| ICD-10 | I20 |
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| ICD-9 | 413 |
| DiseasesDB | 8695 |
| eMedicine | med/133 |
| MeSH | D000787 |
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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 On the Web | ||
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [5]; Associate Editors-In-Chief: Cafer Zorkun, M.D., Ph.D. [6]; Vijay Kunadian, M.D., Ph.D.; Smita Kohli, M.D.
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
Overview | ECG/Chest X-Ray | Risk Assessment in patients with an Intermediate or High probability of CAD | Rest LV Function | 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
- COURAGE
- FREEDOM
See Also
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.
Sources
- Guidelines on the management of stable angina pectoris: The Task Force on the Management of Stable Angina Pectoris of the European Society of Cardiology [1]
- The ACC/AHA/ACP–ASIM Guidelines for the Management of Patients With Chronic Stable Angina [2]
- TheACC/AHA 2002 Guideline Update for the Management of Patients With Chronic Stable Angina [3]
- The 2007 Chronic Angina Focused Update of the ACC/AHA 2002 Guidelines for the Management of Patients With Chronic Stable Angina [4]
External links
References
- ↑ Fox K, Garcia MA, Ardissino D, Buszman P, Camici PG, Crea F; et al. (2006). [url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16735367 [1] "Guidelines on the management of stable angina pectoris: executive summary: The Task Force on the Management of Stable Angina Pectoris of the European Society of Cardiology"] Check
|url=value (help). Eur Heart J. 27 (11): 1341–81. doi:10.1093/eurheartj/ehl001. PMID 16735367. - ↑ Gibbons RJ, Chatterjee K, Daley J, Douglas JS, Fihn SD, Gardin JM et al. (1999) ACC/AHA/ACP-ASIM guidelines for the management of patients with chronic stable angina: executive summary and recommendations. A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee on Management of Patients with Chronic Stable Angina). Circulation 99 (21):2829-48. [2] PMID: 10351980
- ↑ Gibbons RJ, Abrams J, Chatterjee K, Daley J, Deedwania PC, Douglas JS et al. (2003) 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). Circulation 107 (1):149-58.[3] PMID: 12515758
- ↑ Fraker TD, Fihn SD, Gibbons RJ, Abrams J, Chatterjee K, Daley J et al. (2007)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. Circulation 116 (23):2762-72.[4] PMID: 17998462