Chronic stable angina: Difference between revisions
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{{Chronic stable angina}} | {{Chronic stable angina}} | ||
{{CMG}}; '''Associate Editors-In-Chief:''' {{CZ}}; Vijay Kunadian, M.D., Ph.D.; Smita Kohli, M.D. | {{CMG}}; '''Associate Editors-In-Chief:''' {{CZ}}; Vijay Kunadian, M.D., Ph.D.; Smita Kohli, M.D. | ||
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 [[angina|here]]. | |||
==[[Chronic stable angina introduction|Overview]]== | ==[[Chronic stable angina introduction|Overview]]== | ||
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Slides: [http://www.clinicaltrialresults.org/Slides/COURAGE%20trial.ppt Download results of the main COURAGE trial here] | Slides: [http://www.clinicaltrialresults.org/Slides/COURAGE%20trial.ppt Download results of the main COURAGE trial here] | ||
[[Category:Disease state]] | [[Category:Disease state]] |
Revision as of 11:13, 23 July 2011
Chronic stable angina | |
ICD-10 | I20 |
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ICD-9 | 413 |
DiseasesDB | 8695 |
eMedicine | med/133 |
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 Editors-In-Chief: Cafer Zorkun, M.D., Ph.D. [2]; Vijay Kunadian, M.D., Ph.D.; Smita Kohli, M.D.
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
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
Video: Dr. C. Micheal Gibson and William Boden debate the results of COURAGE