Stable angina pectoris is a common complaint of patients with coronary artery disease. In the majority of cases angina can be diagnosed with confidence on the basis of the history alone, but additional investigations are usually necessary to confirm the diagnosis, to assess prognosis and to select the most appropriate therapy. Different diagnostic strategies may be followed depending on the patient's previous history and severity of their symptoms. The aims of the treatment of patients with stable angina are to minimize or abolish symptoms and to improve prognosis. General management must include risk factor interventions and giving aspirin, if there are no contraindications to its use. All three classes of antianginal drugs, i.e. nitrates, betablockers and calcium antagonists alone or in combination, are effective in controlling the symptoms of angina in most cases. PTCA is recommended for patients with angina with one- and two-vessel coronary artery disease, if symptoms do not respond to medical treatment and when there are anatomically suitable lesions. Stents have reduced but not abolished, the problem of restenosis. CABG is also a highly effective means of controlling symptoms and reducing mortality in certain high-risk patients, such as those with left main stenosis or three-vessel disease, especially if left ventricular function is impaired.
|Translated title of the contribution||Diagnosis and treatments of stable angina pectoris|
|Number of pages||9|
|Publication status||Published - Dec 1 1997|
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