Review article

https://doi.org/10.15836/ccar2017.226

Optimal Medical Therapy for Stable Angina Pectoris.

Vjeran Nikolić Heitzler orcid.org/0000-0001-5332-391X ; Working Group on Acute Coronary Syndrome, Croatian Cardiac Society, Croatia

Abstract

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.

Keywords

stable coronary heart disease; clinical assessment of disease; percutaneous coronary intervention; coronary artery bypass surgery

Hrčak ID:

185314

URI

https://hrcak.srce.hr/185314

Publication date:

17.6.2017.

Article data in other languages: croatian

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