Chronic stable angina
For patient information click here
| Chronic stable angina | |
| ICD-10 | I20 |
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| ICD-9 | 413 |
| DiseasesDB | 8695 |
| 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. [1]; Associate Editor(s)-In-Chief: Cafer Zorkun, M.D., Ph.D. [2]; Vijay Kunadian, M.D., Ph.D.; Smita Kohli, M.D.; Lakshmi Gopalakrishnan, M.B.B.S.
Synonyms and keywords: Stenocardia, angina pectoris, angor pectoris
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
ECG/Chest X-Ray | Rest LV Function | Exercise Treadmill Test | 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
- Antiplatelet agents: Aspirin | Dipyridamole | Clopidogrel
- Antianginal agents: Nitrates | Beta Blockers | Calcium Channel Blockers | Potassium channel openers | Newer Anti-anginal Agents
- Alternative therapies for refractory angina: Transmyocardial Revascularization (TMR) | Spinal Cord Stimulation (SCS) | Enhanced External Counter Pulsation (EECP) | ACC/AHA Guidelines for Alternative Therapies in patients with Refractory Angina
Discharge Care
Patient Follow-Up | Rehabilitation
Secondary Prevention
Smoking cessation | Weight management | Physical activity | Lipid management | BP control | Diabetes control | ACC/AHA Guidelines for Cardiovascular Risk Factor Reduction
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
Textbook: COURAGE
Video: Dr. C. Micheal Gibson and lead author William Boden debate the results of COURAGE
Slides:
Results of the COURAGE trial in english
Results of the COURAGE trial in spanish
Results of the economic substudy of the COURAGE trial
Dr. Dean Kereiakes offers a critique of the COURAGE trial
Dr. Duane Pinto puts the COURAGE results into perspective