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Evaluation and Management of Patients With Stable Angina: Beyond the Ischemia Paradigm: JACC State-of-the-Art Review. [Review]

MedStar author(s):

Citation: Journal of the American College of Cardiology. 76(19):2252-2266, 2020 11 10.PMID: 33153586Institution: MedStar Heart & Vascular InstituteForm of publication: Journal ArticleMedline article type(s): Journal Article | ReviewSubject headings: *Angina, Stable/dg [Diagnostic Imaging] | *Angina, Stable/th [Therapy] | *Disease Management | *Myocardial Ischemia/dg [Diagnostic Imaging] | *Myocardial Ischemia/th [Therapy] | Angina, Stable/ep [Epidemiology] | Cardiovascular Agents/ad [Administration & Dosage] | Healthy Lifestyle/ph [Physiology] | Humans | Myocardial Ischemia/ep [Epidemiology] | Review Literature as Topic | Risk Factors | Risk Reduction Behavior | Ventricular Dysfunction, Left/dg [Diagnostic Imaging] | Ventricular Dysfunction, Left/ep [Epidemiology] | Ventricular Dysfunction, Left/th [Therapy]Year: 2020 Local holdings: Available online from MWHC library: 1995 - present, Available in print through MWHC library:1999-2007ISSN:

0735-1097

Name of journal: Journal of the American College of CardiologyAbstract: Coronary heart disease is a chronic, systemic disease with a wide range of associated symptoms, clinical outcomes, and health care expenditure. Adverse events from coronary heart disease can be mitigated or avoided with lifestyle and risk factor modifications, and medical therapy. These measures are effective in slowing the progression of atherosclerotic disease and in reducing the risk of thrombosis in the setting of plaque disruptions. With increasing effectiveness of prevention and medical therapy, the role of coronary artery revascularization has decreased and is largely confined to subgroups of patients with unacceptable angina, severe left ventricular systolic dysfunction, or high-risk coronary anatomy. There is a compelling need to allocate resources appropriately to improve prevention. Herein, we review the scientific evidence in support of medical therapy and revascularization for the management of patients with stable coronary heart disease and discuss implications for the evaluation of patients with stable angina and public policy. Copyright (c) 2020 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved.All authors: Alfaddagh A, Arbab-Zadeh A, Blaha MJ, Blumenthal RS, Boden WE, Ferraro R, Fuster V, Jones SR, Latina JM, Lima JAC, Michos ED, Sharma G, Trost JC, Weintraub WSOriginally published: Journal of the American College of Cardiology. 76(19):2252-2266, 2020 Nov 10.Fiscal year: FY2021Digital Object Identifier:

https://dx.doi.org/10.1016/j.jacc.2020.08.078

Date added to catalog: 2020-12-29

Holdings ( 1 )
Title notes ( 3 )

Holdings
Item type	Current library	Collection	Call number	Status	Date due	Barcode
Journal Article	MedStar Authors Catalog	Article	33153586	Available		33153586

Available online from MWHC library: 1995 - present, Available in print through MWHC library:1999-2007

Coronary heart disease is a chronic, systemic disease with a wide range of associated symptoms, clinical outcomes, and health care expenditure. Adverse events from coronary heart disease can be mitigated or avoided with lifestyle and risk factor modifications, and medical therapy. These measures are effective in slowing the progression of atherosclerotic disease and in reducing the risk of thrombosis in the setting of plaque disruptions. With increasing effectiveness of prevention and medical therapy, the role of coronary artery revascularization has decreased and is largely confined to subgroups of patients with unacceptable angina, severe left ventricular systolic dysfunction, or high-risk coronary anatomy. There is a compelling need to allocate resources appropriately to improve prevention. Herein, we review the scientific evidence in support of medical therapy and revascularization for the management of patients with stable coronary heart disease and discuss implications for the evaluation of patients with stable angina and public policy. Copyright (c) 2020 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved.

English