Chronic stable angina ACC/AHA guidelines for alternative therapies in patients with refractory angina

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ACC/AHA Guidelines for Alternative Therapies in patients with Refractory Angina

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-In-Chief: Cafer Zorkun, M.D., Ph.D. [2]; John Fani Srour, M.D.; Jinhui Wu, M.D.; Lakshmi Gopalakrishnan, M.B.B.S.; Aysha Aslam, M.B.B.S[3]

Overview

Guidelines for the use of alternative therapy such as transmyocardial revascularization, spinal cord stimulation, and enhanced external counter pulsation in the management of chronic stable angina refractory to medical therapy or unsuitable for revascularization by either PCI or CABG.

2012 ACC/AHA Guidelines- Alternative Therapies (DO NOT EDIT)[1][2][3]

Class IIb
"1. Enhanced external counterpulsation may be considered for relief of refractory angina in patients with SIHD(Level of Evidence: B)"
"2. Spinal cord stimulation may be considered for relief of refractory angina in patients with SIHD. (Level of Evidence: C)"
"3. Transmyocardial revascularization may be considered for relief of refractory angina in patients with SIHD (Level of Evidence: B)"
Class III
"1. Acupuncture should not be used for the purpose of improving symptoms or reducing cardiovascular risk in patients with SIHD(Level of Evidence: C)"

References

  1. Fihn SD, Gardin JM, Abrams J, Berra K, Blankenship JC, Dallas AP; et al. (2012). "2012 ACCF/AHA/ACP/AATS/PCNA/SCAI/STS guideline for the diagnosis and management of patients with stable ischemic heart disease: executive summary: a report of the American College of Cardiology Foundation/American Heart Association task force on practice guidelines, and the American College of Physicians, American Association for Thoracic Surgery, Preventive Cardiovascular Nurses Association, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons". Circulation. 126 (25): 3097–137. doi:10.1161/CIR.0b013e3182776f83. PMID 23166210.
  2. Gibbons RJ, Chatterjee K, Daley J, Douglas JS, Fihn SD, Gardin JM et al. (1999)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. PMID: 10351980
  3. 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. PMID: 12515758

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