Chronic stable angina prognosis

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Cafer Zorkun, M.D., Ph.D. [2]

Associate Editor-in-chief: Smita Kohli, M.D.

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It is common to equate severity of angina with risk of fatal cardiac events. There is only a weak relationship between severity of pain and degree of oxygen deprivation in the heart muscle (i.e. there can be severe pain with little or no risk of a heart attack, and a heart attack can occur without pain).

The annual mortality in patients with stable angina with documented coronary artery disease ranges from 1-4%. However, the prognosis varies widely depending on various factors like duration and severity of symptoms, resting ECG abnormalities, abnormal left ventricular function and associated comorbidities[1]


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  1. Predicting prognosis in stable angina--results from the Euro heart survey of stable angina: prospective observational study. Daly CA, De Stavola B, Sendon JL, Tavazzi L, Boersma E, Clemens F, Danchin N, Delahaye F, Gitt A, Julian D, Mulcahy D, Ruzyllo W, Thygesen K, Verheugt F, Fox KM; Euro Heart Survey Investigators. BMJ. 2006 Feb 4;332(7536):262-7. Epub 2006 Jan 13.