Chronic stable angina prognosis: Difference between revisions

Jump to navigation Jump to search
No edit summary
No edit summary
Line 1: Line 1:
__NOTOC__
__NOTOC__
{{Chronic stable angina}}
{{Chronic stable angina}}
{{CMG}}; '''Associate Editors-in-chief:''' {{CZ}}; Smita Kohli, M.D.
{{CMG}}; '''Associate Editors-in-chief:''' Smita Kohli, M.D.


==Overview==
==Overview==
The annual mortality in patients with stable angina with documented [[coronary artery disease]] ranges from 1% to 4%. However, the prognosis varies widely depending on various factors such as the duration and severity of symptoms, resting [[ECG]] abnormalities, abnormal left ventricular function and associated comorbidities.<ref>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 PMID: 16415069</ref>


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).
Impairment of left ventricular systolic function is associated with a poorer long term prognosis among patients with chronic stable angina. In patients with three-vessel coronary artery disease, the presence of an ejection fraction of less than 50% or clinical evidence of [[heart failure]] is associated with almost three times higher mortality than that in patients with normal left ventricular function and a similar extent of CAD.<ref>{{cite book |last= Braunwald |first= Eugene. |coauthors= Lee Goldman|title= [[Primary Cardiology]]|chapter=25 |publisher= [[Saunders]] |year= 2003|month= April|isbn= 0-7216-9444-6}}</ref>
 
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.<ref>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 PMID: 16415069</ref>
Impairment of left ventricular systolic function adversely influences the long term prognosis of patients with chronic stable angina. In patients with three-vessel coronary artery disease, the presence of ejection fraction of less than 50% or clinical evidence of heart failure is associated with almost three times higher mortality than in patients with normal left ventricular function and a similar extent of CAD.<ref>{{cite book |last= Braunwald |first= Eugene. |coauthors= Lee Goldman|title= [[Primary Cardiology]]|chapter=25 |publisher= [[Saunders]] |year= 2003|month= April|isbn= 0-7216-9444-6}}</ref>


==References==
==References==

Revision as of 00:42, 18 July 2011

Chronic stable angina Microchapters

Acute Coronary Syndrome Main Page

Home

Patient Information

Overview

Historical Perspective

Classification

Classic
Chronic Stable Angina
Atypical
Walk through Angina
Mixed Angina
Nocturnal Angina
Postprandial Angina
Cardiac Syndrome X
Vasospastic Angina

Differentiating Chronic Stable Angina from Acute Coronary Syndromes

Pathophysiology

Epidemiology and Demographics

Risk Stratification

Pretest Probability of CAD in a Patient with Angina

Prognosis

Diagnosis

History and Symptoms

Physical Examination

Test Selection Guideline for the Individual Basis

Laboratory Findings

Electrocardiogram

Exercise ECG

Chest X Ray

Myocardial Perfusion Scintigraphy with Pharmacologic Stress

Myocardial Perfusion Scintigraphy with Thallium

Echocardiography

Exercise Echocardiography

Computed coronary tomography angiography(CCTA)

Positron Emission Tomography

Ambulatory ST Segment Monitoring

Electron Beam Tomography

Cardiac Magnetic Resonance Imaging

Coronary Angiography

Treatment

Medical Therapy

Revascularization

PCI
CABG
Hybrid Coronary Revascularization

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

Guidelines for Asymptomatic Patients

Noninvasive Testing in Asymptomatic Patients
Risk Stratification by Coronary Angiography
Pharmacotherapy to Prevent MI and Death in Asymptomatic Patients

Landmark Trials

Case Studies

Case #1

Chronic stable angina prognosis On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Chronic stable angina prognosis

CDC onChronic stable angina prognosis

Chronic stable angina prognosis in the news

Blogs on Chronic stable angina prognosis

to Hospitals Treating Chronic stable angina prognosis

Risk calculators and risk factors for Chronic stable angina prognosis

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editors-in-chief: Smita Kohli, M.D.

Overview

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

Impairment of left ventricular systolic function is associated with a poorer long term prognosis among patients with chronic stable angina. In patients with three-vessel coronary artery disease, the presence of an ejection fraction of less than 50% or clinical evidence of heart failure is associated with almost three times higher mortality than that in patients with normal left ventricular function and a similar extent of CAD.[2]

References

  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 PMID: 16415069
  2. Braunwald, Eugene. (2003). "25". Primary Cardiology. Saunders. ISBN 0-7216-9444-6. Unknown parameter |coauthors= ignored (help); Unknown parameter |month= ignored (help)


Template:WikiDoc Sources