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[Treatment of chronic angina pectoris]
1Service de Cardiologie, Université de Liège.
Insights
Stable angina, a symptom of coronary artery disease, is defined by clinical criteria. This review covers diagnostic evaluation, coronary arteriography, and therapeutic options, including surgery and PTCA.
Area of Science:
- Cardiology
- Internal Medicine
Context:
- Stable angina is a common manifestation of coronary artery disease (CAD).
- Accurate diagnosis and management are crucial for patient outcomes.
Purpose:
- To define clinical criteria for angina diagnosis.
- To discuss evaluation techniques, emphasizing coronary arteriography guidelines.
- To outline therapeutic modalities based on clinical trial data.
Summary:
- This review details the diagnostic criteria for angina.
- It covers evaluation methods, focusing on international recommendations for coronary arteriography.
- Therapeutic options, including coronary artery bypass graft surgery and percutaneous transluminal coronary angioplasty (PTCA), are reviewed based on clinical evidence.
Impact:
- Provides a comprehensive overview of stable angina diagnosis and management.
- Offers evidence-based guidelines for clinical practice.
- Aims to improve patient care for coronary artery disease.
Abstract:
Stable angina is one of the manifestations of coronary artery disease. In this review, we shall define the clinical criteria for the diagnosis of angina. The different techniques of evaluation will be discussed with a particular emphasis on the international recommendations for the use of coronary arteriography. The different therapeutic modalities will be outlined based on the results of large controlled clinical trials. Finally, the guidelines proposed for the use of coronary by-pass surgery and PTCA will be reviewed.