Related Experiment Video
Updated: Oct 21, 2025

Testing Acetylcholine Followed by Adenosine for Invasive Diagnosis of Coronary Vasomotor Disorders
Published on: February 3, 2021
Consensus Statement on Holistic Management of Angina
Tiny Nair1, Uday M Jadhav2, K P Suresh Kumar3
1Head, Dept. of Cardiology, PRS Hospital, Trivandrum, Kerala.
Insights
This consensus statement addresses angina pectoris, a symptom of coronary artery disease (CAD). It provides guidance on the definition, diagnosis, and management of angina to improve patient outcomes and prevent cardiovascular events.
Area of Science:
- Cardiology
- Internal Medicine
Background:
- Coronary heart disease (CHD) is a global epidemic.
- Adherence to medical and interventional therapies has reduced cardiac deaths by 33% at 5 years post-discharge.
- Angina pectoris is a primary symptom of ischemic heart disease.
Purpose of the Study:
- To establish consensus guidelines for the definition, diagnosis, and management of angina in stable coronary artery disease (CAD).
- To outline goals of anti-ischemia therapy, including symptom relief, improved quality of life, and prevention of cardiovascular events.
Main Methods:
- A consensus statement was developed through multiple e-meetings with ten eminent cardiology experts across ten regions in India.
- Methods included extensive literature review, intense discussions, and feedback from attending cardiologists.
Main Results:
- The article reports consensus statements on the definition, diagnosis, and management of angina.
- These guidelines aim to standardize care for patients with stable CAD.
Conclusions:
- The consensus provides a framework for managing angina pectoris in India.
- The guidelines focus on improving patient prognosis and preventing cardiovascular events through optimized anti-ischemia therapy.
Abstract:
Worldwide, coronary heart disease (CHD), have assumed epidemic proportions. Increasing use of interventional therapy and a higher adherence to medical therapy have led to a 33% reduction in cardiac deaths at 5 years after hospital discharge. Angina pectoris is a common symptom of ischemic heart disease. The goals of anti-ischemia therapy in patients with stable coronary artery disease (CAD) include relieving angina symptoms, improving duration of exercise and quality of life, improving prognosis and preventing cardiovascular (CV) events. The consensus statement was devised with the help of multiple meetings held across India. Ten regional advisory board e-meetings were held in Mumbai, Delhi, Chennai, Kolkata, Ahmedabad, Cochin, Trivandrum, Lucknow, Bhopal and Varanasi. These meetings were attended by ten eminent experts from the field of cardiology from each region. Extensive literature review, intense discussions, and feedback from the cardiologists led to the development of the following consensus statements on definition, diagnosis, and management of angina, which have been reported in this article.
Related Concept Videos
Angina V: Nursing Management
Angina IV: Management
Angina III: Clinical Manifestations and Assessment
Atherosclerosis III: Management
Acute Coronary Syndrome IV: Interprofessional Care
Acute Coronary Syndrome V: Nursing Management

