[The practice guideline 'Stable angina pectoris' (second revision) from the Dutch College of General Practitioners; a response from the perspective of cardiology].
The Dutch College of General Practitioners (Dutch acronym: NHG) practice guideline 'Stable angina pectoris' (second revision) provides a clear insight into the anamnesis, diagnosis and treatment of patients with stable angina pectoris. However, we would like the guideline to include more information about the indication areas for additional tests: these tests can also be useful for patients with less than a 30% risk or more than a 70% risk of significant obstructive coronary disease. The same applies for an exercise ECG or possible pharmacological stress tests for patients with ischaemia during rest or a left bundle branch block. Further, angiotensin-converting enzyme inhibitors can be effective as a form of secondary prevention among patients with stable angina pectoris who also have diabetes mellitus and/or a reduced left ventricular function.
van der Wall
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Leids Universitair Medisch Centrum, afd. Cardiologie, Postbus 9600, 2300 RC Leiden. e.e.van_der_wall@lumc.nl
D000787:Angina Pectoris / Q000175:diagnosis* / Q000517:prevention & control; D002309:Cardiology / Q000592:standards*; D003327:Coronary Disease / Q000517:prevention & control; D003937:Diagnosis, Differential; D006801:Humans; D009426:Netherlands; D017410:Practice Guidelines as Topic; D012307:Risk Factors