Choice of therapy in angina

Ischaemic heart disease is one of the most serious health problems in the Western world. Angina is the commonest symptom and its therapy is still palliative, although complete relief from symptoms can generally be achieved by appropriate drugs or revascularization procedures. The degree of disability caused varies and therapeutic choice depends on patient characteristics and causative factors in the production of angina. This article reviews the management of angina from ischaemic heart disease assuming other causes like valvular disease, congenital anomalies, arteritis and cardiomyopathies have been excluded.