Chronic Stable Angina.
N Engl J Med. 2016 Mar 24;374(12):1167-1176
Authors: Ohman EM
Abstract
Key Clinical Points Chronic Stable Angina In patients with suspected angina, it is important not only to make a diagnosis, but also to assess the prognosis. Management of angina should include lifestyle changes and pharmacotherapy to reduce cardiovascular risks, including those associated with high blood pressure and elevated lipid levels. Standard antianginal medications include beta-blockers, long-acting nitrates, and calcium-channel blockers; ranolazine is a new agent approved by the Food and Drug Administration for angina. Relief of angina should be assessed again within 2 weeks after the initiation of therapy. An invasive strategy is a reasonable option in patients who do not have a response to medical therapy. Physiological assessment of the target lesion is useful to guide decisions regarding revascularization.
PMID: 27007960 [PubMed - as supplied by publisher]