Angina is the main symptom of myocardial ischaemia, and the most common cause of angina is coronary artery disease. The presence of angina is therefore associated with an increased risk of subsequent cardiac events and mortality that can be reduced by appropriate medical treatment or surgical intervention. GPs should ensure that patients presenting with symptoms consistent with angina are rapidly assessed. This article gives a framework for managing stable angina in primary care.
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References
1.
BakerWLColemanCIKlugerJ, et al. (2009) Systematic review: Comparative effectiveness of angiotensin-converting enzyme inhibitors or angiotensin II-receptor blockers for ischemic heart disease. Annals of Internal Medicine151(12): 861–871. DOI: 10.7326/0003-4819-151-12-200912150-00162.
FoxK (2011) The medical management of stable angina. The British Journal of Cardiology18(Suppl 3): s1–s12. DOI:10.5837/bjc.2011.s03.
7.
KallistratosMPoulimenosLManolisA (2017) Stable angina pectoris: Which drugs or combinations to use in which patients. e-Journal of Cardiology Practice15: 8–21.
8.
Maseri A (1995) Ischemic HEART Disease: A Rational Basis for Clinical Practise and Clinical Research. New York: Churchill Livingstone.
9.
NICE (2010) Recent-onset chest pain of suspected cardiac origin: Assessment and diagnosis. Available at: www.nice.org.uk/guidance/CG95 (accessed 9 May 2021).
The Task Force for the Diagnosis and Management of Chronic Coronary Syndromes of the European Society of Cardiology (2019) ESC guidelines for the diagnosis and management of chronic coronary syndromes. European Heart Journal41(3): 407–477. DOI: 10.1093/eurheartj/ehz425.
19.
The Task Force on the Management of Stable Angina Pectoris of the European Society of Cardiology (2006) Guidelines on the management of stable angina pectoris. European Heart Journal27(11): 1341–1381. DOI: 10.1093/eurheartj/ehl001.