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

 -  2020 
<br/><br/>Available online from MWHC library: 1995 - present, Available in print through MWHC library:1999-2007 
<br/><br/> 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. 
<br/><br/><br/>English 
<br/><br/><label>ISSN: </label>0735-1097 
<br/><br/><label>Standard No.: </label>10.1016/j.jacc.2020.08.078 [doi] S0735-1097(20)37185-0 [pii] 
<br/><br/><label>Subjects--Topical Terms: </label><br/>*Angina, Stable/dg [Diagnostic Imaging]<br/>*Angina, Stable/th [Therapy]<br/>*Disease Management<br/>*Myocardial Ischemia/dg [Diagnostic Imaging]<br/>*Myocardial Ischemia/th [Therapy]<br/>Angina, Stable/ep [Epidemiology]<br/>Cardiovascular Agents/ad [Administration & Dosage]<br/>Healthy Lifestyle/ph [Physiology]<br/>Humans<br/>Myocardial Ischemia/ep [Epidemiology]<br/>Review Literature as Topic<br/>Risk Factors<br/>Risk Reduction Behavior<br/>Ventricular Dysfunction, Left/dg [Diagnostic Imaging]<br/>Ventricular Dysfunction, Left/ep [Epidemiology]<br/>Ventricular Dysfunction, Left/th [Therapy]
<br/><br/><label>Subjects--Geographic Terms: </label><br/>MedStar Heart & Vascular Institute
<br/><br/><label>Index Terms--Function: </label><br/>Journal Article<br/>Review