- Stable angina pectoris is a common and disabling
disorder
- With proper management, the symptoms can usually
be controlled and the prognosis substantially improved
- As a minimum, each patient should have a carefully
taken history and physical examination, an assessment
of risk factors and a resting electrocardiogram
- Patients should be prescribed lipid lowering drugs
if they have an abnormal lipid profile (LDL-cholesterol
>100 mg/dl)
- If there are no other contraindications, a selective
beta-blocker is the drug of choice for providing symptom
relief. Other effective alternatives include nitrates,
calcium channel blockers, potassium channel openers
and cytoprotective drugs
Treatment mnemonic: The 10 most important
treatment elements of stable angina management
A = Aspirin and anti-anginal therapy
B = Beta-blocker and blood pressure
C = Cigarette smoking and cholesterol
D = Diet and diabetes
E = Education and exercise
Further Reading
- Management of stable
angina pectoris. Recommendations of the Task Force
of the European Society of Cardiology. Eur Heart J
1997; 18: 394-413.
- ACC/AHA/ACP-ASIM guidelines
for the management of patients with chronic stable
angina. J Am Coll Cardiol 1999; 33: 2092-2190.
- Drugs for angina. Update.
January 1999.
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