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Management standards for stable coronary artery disease in India
Sundeep Mishra1, Saumitra Ray2, Jamshed J Dalal3
1Department of Cardiology, All India Institute of Medical Sciences, Ansari Nagar, New Delhi 110029, India.
Indian Heart Journal
|January 1, 2017
Summary
Coronary artery disease (CAD) causes millions of deaths globally, with stable CAD presenting as chest pain. Understanding stable coronary artery disease (SCAD) is crucial for managing this widespread cardiovascular condition.
Area of Science:
- Cardiology
- Public Health
Background:
- Coronary artery disease (CAD) is a leading global cause of death, responsible for over 7 million fatalities annually.
- India faces a significant and growing burden of CAD, with angina pectoris as its primary manifestation.
- Stable coronary artery disease (SCAD) involves transient chest pain due to myocardial oxygen supply-demand imbalance, and can also follow acute coronary syndromes.
Purpose of the Study:
- To define and characterize stable coronary artery disease (SCAD).
- To provide a comprehensive understanding of SCAD, including its triggers and classifications.
- To highlight the global and Indian context of CAD and SCAD burden.
Main Methods:
- Literature review and synthesis of existing definitions and classifications of SCAD.
- Analysis of epidemiological data on CAD and SCAD prevalence.
- Inclusion of vasospastic and microvascular angina under the SCAD umbrella.
Main Results:
- SCAD is defined by episodes of angina pectoris, typically triggered by stress.
- Myocardial ischemia or hypoxia results from a reversible mismatch in oxygen supply and demand.
- SCAD also includes stabilized post-acute coronary syndrome phases and specific angina types.
Conclusions:
- Stable coronary artery disease (SCAD) is a critical aspect of cardiovascular disease management.
- Accurate definition and classification of SCAD are essential for effective patient care and public health strategies.
- Addressing the rising burden of SCAD in India requires focused attention and resources.
Keywords:
Developing countriesGuidelinesManagement standardsPractice guidelinesStable CADTreatment algorithmsMore Related Videos
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