Primary care management of chronic stable angina and asymptomatic suspected or known coronary artery disease: a clinical practice guideline from the American College of Physicians.
In 1999, the American College of Physicians (ACP), then the American College of Physicians-American Society of Internal Medicine, and the American College of Cardiology/American Heart Association (ACC/AHA) developed joint guidelines on the management of patients with chronic stable angina. The ACC/AHA then published an updated guideline in 2002, which ACP recognized as a scientifically valid review of the evidence and background paper. This ACP guideline summarizes the recommendations of the 2002 ACC/AHA updated guideline and underscores the recommendations most likely to be important to physicians seeing patients in the primary care setting. This guideline is the second of 2 that provide guidance on the management of patients with chronic stable angina. This document covers treatment and follow-up of symptomatic patients who have not had an acute myocardial infarction or revascularization procedure in the previous 6 months. Sections addressing asymptomatic patients are also included. Asymptomatic refers to patients with known or suspected coronary disease based on a history or electrocardiographic evidence of previous myocardial infarction, coronary angiography, or abnormal results on noninvasive tests. A previous guideline covered diagnosis and risk stratification for symptomatic patients who have not had an acute myocardial infarction or revascularization procedure in the previous 6 months and asymptomatic patients with known or suspected coronary disease based on a history or electrocardiographic evidence of previous myocardial infarction, coronary angiography, or abnormal results on noninvasive tests.
American College of Physicians and University of Pennsylvania, Philadelphia, Pennsylvania 19106, USA. vincenza@mail.acponline.org
Vincenza
V
Snow
Patricia
P
Barry
Stephan D
SD
Fihn
Raymond J
RJ
Gibbons
Douglas K
DK
Owens
Sankey V
SV
Williams
Christel
C
Mottur-Pilson
Kevin B
KB
Weiss
D000787:Angina Pectoris / Q000188:drug therapy / Q000628:therapy*; D002908:Chronic Disease; D003324:Coronary Artery Disease / Q000188:drug therapy / Q000628:therapy*; D016757:Death, Sudden, Cardiac / Q000517:prevention & control; D006801:Humans; D008991:Monitoring, Physiologic; D009203:Myocardial Infarction / Q000517:prevention & control; D011320:Primary Health Care