Statistics from Altmetric.com
If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.
The management of patients with stable angina presents clinicians and healthcare providers with a major clinical and health economic challenge. The Health Survey for England 2006 reported that around 8% of men and 3% of women aged between 55 and 64 years have or have had angina, and these figures rise to 14% and 8% respectively for men and women aged between 65 and 74 years.1 Large randomised trials suggest that people with stable angina have a good prognosis with an all-cause mortality of around 1.5% a year,2 but population-based studies have reported substantially higher annual cardiovascular death rates.3 4 Moreover, a diagnosis of angina has a significant impact on quality of life, which deteriorates progressively in proportion to the severity of symptoms.5
The Euro Heart survey of 3779 patients with a new diagnosis of stable angina disclosed considerable differences between participating countries in the prescription of anti-anginal drugs, use of non-invasive and invasive investigations and rates of myocardial revascularisation.6 This variation in practice reflects uncertainty about the appropriate management of patients with stable angina and highlights the need for evidence-based clinical guidelines.
The recently published NICE clinical guideline (CG126) on the management of stable angina offers advice on treatment of episodes of angina, anti-anginal drug treatment, secondary prevention, the role of risk scores and non-invasive functional investigation, myocardial revascularisation, life-style adjustments and the management of refractory angina. Detailed review of the evidence for the guideline can be found in the full version (http://guidance.nice.org.uk/CG126) and this article summarises the most important recommendations (see box 1). Other NICE clinical guidelines deal with the diagnosis of …