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CHRONIC STABLE ANGINA-MANAGEMENT

Cardiology

CHRONIC STABLE ANGINA-MANAGEMENT

1. Medical therapy to prevent Ml and death: anti platelet therapy: aspirin/clopidogrel; high-dose statin; beta-blockers (if LVEF < 40% or prior MI); ACEI (if LVEF < 40%, DM, HTN, or CKD).

2. Medical therapy for relief of symptoms: beta-blockers as initial therapy; CCB or long-acting nitrates when beta-blockers cannot be used.

3. High-risk/low/intermediate risk patients who remain symptomatic should be referred for coronary angiogram.

4. Other general considerations: physical activity, diet, smoking cessation, BP control, statin therapy, weight-loss, anti-plt, beta-blockers, ACEI.


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REFERENCES

1. Wilkinson, I. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press.
2. Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
3. Image: no reference available.

Ⓒ A. Manickam 2018

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