| Chronic stable angina pectoris. Risk stratification and treatment. | |
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MedLine Citation:
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PMID: 1546009 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Workup of stable angina patients begins with careful history taking and evaluation of various risk factors, physical examination, and a resting electrocardiogram (ECG). A noninvasive exercise stress test is valuable for risk stratification. Abnormalities on a resting ECG or equivocal results on a stress test warrant an exercise test combined with thallium scintigraphy, which is more sensitive and specific. Cardiac catheterization is advisable for patients with chest discomfort and multiple risk factors, even if results of thallium testing are negative. Patients with severe or progressive angina or congestive heart failure should also have cardiac catheterization. Nitrates, beta-adrenergic blockers, and calcium channel blockers are cornerstones of medical therapy. Revascularization with coronary artery bypass graft is recommended for patients with left main coronary artery disease, left ventricular dysfunction, or severe proximal three-vessel coronary artery disease. Percutaneous transluminal coronary angioplasty (PTCA) is a good alternative for one- or two-vessel disease. Three-vessel PTCA can be accomplished, but its real role still remains to be established. |
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Authors:
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J N Dalal; A C Jain |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Postgraduate medicine Volume: 91 ISSN: 0032-5481 ISO Abbreviation: Postgrad Med Publication Date: 1992 Mar |
Date Detail:
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Created Date: 1992-04-16 Completed Date: 1992-04-16 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0401147 Medline TA: Postgrad Med Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 165-8, 173-7 Citation Subset: AIM; IM |
Affiliation:
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Section of cardiology, West Virginia University School of Medicine, Morgantown. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Angina Pectoris*
/
complications,
diagnosis,
drug therapy Chronic Disease Heart Function Tests Humans Myocardial Infarction / etiology Risk Factors |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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