EDUCATION IN HEART
Coronary disease
Treatment of stable angina
Department of Cardiology, Rabin Medical Center, Beilinson Campus, Petach Tikva, and Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
Correspondence to:
Correspondence to:
Professor Alexander Battler
Department of Cardiology, Rabin Medical Center, 39 Jabotinsky Street, Petach Tikva, Israel 49100; abattler@clalit.org.il
| The first 150 words of the full text of this article appear below. |
Coronary artery disease is still highly prevalent worldwide, and stable angina pectoris is one of its more common presentations. Stable angina is a clinical expression of myocardial ischaemia associated with fixed atherosclerotic coronary stenosis, which prevents the adaptation of coronary perfusion to an increased oxygen requirement. The goals of treatment include relief of symptoms, inhibition or slowing of disease progression, prevention of future cardiac events such as myocardial infarction (MI), and improved survival. This article reviews the treatment modalities currently available to alleviate the symptoms of chronic angina and to reduce the risk of future MI and cardiac death, including several novel pharmacological treatments, coronary revascularisation, as well as novel technologies that may benefit selected groups of patients who are refractory to both drugs and revascularisation (fig 1
).
Figure 1 Different modalities of treatment of stable angina. ACE, angiotensin-converting enzyme; CABG, coronary artery bypass grafting; EECP, enhanced external counter | |||||||||
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Heart 2007 93: 1023.[Extract] [Full Text] [PDF]
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