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Related Concept Videos

Acute Coronary Syndrome IV: Interprofessional Care01:28

Acute Coronary Syndrome IV: Interprofessional Care

IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
Coronary Artery Disease V: Interprofessional Care01:27

Coronary Artery Disease V: Interprofessional Care

Interprofessional care for coronary artery disease includes pharmacological therapy and revascularization procedures.Pharmacological therapy for Coronary Artery Disease (CAD) aims to manage symptoms, prevent complications, and improve patient outcomes through various classes of medications:Antiplatelet Agents:Aspirin and Clopidogrel: These medications inhibit platelet aggregation, preventing blood clots, which is crucial for avoiding heart attacks and strokes. Doctors often prescribe these...
Angina V: Nursing Management01:20

Angina V: Nursing Management

Angina, a symptom of myocardial ischemia, requires a structured nursing management approach to ensure effective care and prevent complications like myocardial infarction. Comprehensive nursing care involves assessing, diagnosing, planning, implementing interventions, and evaluating outcomes, all tailored to the individual patient's needs.Patient AssessmentNursing assessment begins with a detailed subjective evaluation of symptoms, which typically include chest pain or pressure radiating to the...
Ischemic Heart Disease: Overview01:17

Ischemic Heart Disease: Overview

Ischemic heart disease occurs when the heart's blood supply dwindles, causing an ominous lack of oxygen and nutrients. This deficiency, stemming from reduced or obstructed blood flow, spells danger, leading to heart muscle damage and dysfunction.
Atherosclerosis, the primary malefactor, orchestrates this dangerous condition. It manifests as the accumulation of fatty deposits, akin to insidious plaques, within arterial walls. As time elapses, these plaques metamorphose, hardening and narrowing...
Coronary Artery Disease IV: Preventive Measures01:26

Coronary Artery Disease IV: Preventive Measures

Effective preventive measures for coronary artery disease (CAD) focus on controlling modifiable risk factors, including cholesterol abnormalities and lifestyle changes.Cholesterol ManagementFirst, the Mediterranean diet and the American Heart Association advocate for maintaining low-density lipoprotein (LDL) cholesterol levels below 100 mg/dL, with a more stringent recommendation of below 70 mg/dL for individuals at high risk. LDL cholesterol, often termed "bad cholesterol," can lead to the...
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Peripheral Artery Disease III: Interprofessional Care

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Updated: May 29, 2026

Catheter-based Endovascular Angioplasty for Fibrosing Mediastinitis-associated Pulmonary Vein Stenosis
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Collaborative care intervention for stable ischemic heart disease.

Stephan D Fihn1, Joy B Bucher, Mary McDonell

  • 1Departments of Medicine, University of Washington, Seattle, USA. stephan.fihn@va.gov

Archives of Internal Medicine
|September 14, 2011
PubMed
Summary
This summary is machine-generated.

A collaborative care intervention improved guideline adherence for stable angina patients but did not significantly improve their symptoms or self-perceived health. The model was well-accepted by primary care providers.

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Published on: August 26, 2025

Area of Science:

  • Cardiology
  • Primary Care Medicine
  • Health Services Research

Background:

  • Collaborative care models enhance provider communication and improve chronic condition management.
  • Stable angina requires effective management strategies to improve patient outcomes.
  • Primary care providers play a crucial role in managing patients with chronic stable angina.

Purpose of the Study:

  • To evaluate a multifaceted collaborative care intervention for chronic stable angina.
  • To determine if the intervention improves angina symptoms, self-perceived health, and guideline concordance.
  • To assess the acceptance and implementation of collaborative care recommendations by primary care providers.

Main Methods:

  • Prospective, cluster-randomized trial involving 183 primary care providers and 703 patients with symptomatic ischemic heart disease.
  • Intervention delivered through primary care, focusing on collaborative care teams.
  • Primary end points measured over 12 months included Seattle Angina Questionnaire symptoms, self-perceived health, and practice guideline concordance.

Main Results:

  • Providers accepted and implemented 91.6% of collaborative care recommendations, particularly for medications.
  • The intervention did not significantly improve angina symptoms or self-perceived health.
  • Guideline concordance increased by 4.5% (P < .01), primarily due to increased diagnostic testing, not medication use.

Conclusions:

  • Collaborative care interventions are well-accepted by primary care providers.
  • The intervention modestly improved guideline-concordant care but did not enhance patient-reported symptoms or health.
  • Further research may be needed to optimize collaborative care for symptom improvement in stable angina.