Cardiologia Croatica, Vol. 12 No. 5-6, 2017.
Pregledni rad
https://doi.org/10.15836/ccar2017.226
Optimal Medical Therapy for Stable Angina Pectoris.
Vjeran Nikolić Heitzler
orcid.org/0000-0001-5332-391X
; Radna skupina za akutni koronarni sindrom, Hrvatsko kardiološko društvo, Hrvatska
Sažetak
The pathomorphological substrate of stable angina pectoris differs significantly from that of unstable angina pectoris. Acute coronary syndrome presents with the clinical picture of unstable angina pectoris and myocardial infarction with or without ST-segment elevation, and the invasive approach through percutaneous coronary intervention or surgical myocardial revascularization with optimal medical therapy is indicated. In contrast, stable angina pectoris develops gradually, and many studies have demonstrated that the long-term results (fatal outcomes) do not differ in comparison with the invasive approach. The main prerequisite is the application of optimal medical therapy. It is based on three medications: extended-release nitrates, beta blockers, and calcium antagonists, in addition to other treatment.
Ključne riječi
stable coronary heart disease; clinical assessment of disease; percutaneous coronary intervention; coronary artery bypass surgery
Hrčak ID:
185314
URI
Datum izdavanja:
17.6.2017.
Posjeta: 2.882 *