[Stable and asymptomatic coronary heart disease: a new paradign].
Whilst optimal management of acute coronary syndromes and, in particular, the value of an early invasive strategy including revascularization, is well defined, the treatment of asymptomatic and stable coronary artery disease (CAD) has been more empirical. Recent studies clarify the benefits of different strategies. Strict control of cardiovascular risk factors (CVRF), with pharmacological intervention if necessary, remains the cornerstone of CAD management. Systematic screening of asymptomatic patients, even in categories such as those with diabetes, is not recommended. Furthermore, initial revascularization in patients with stable coronary heart disease, and no high risk lesions or disabling angina, has no benefit over medical management of CVRF.
Service de médecine interne générale, Département de médecine interne, HUG, 1211 Genève 14. Carole.Baumgartner@hcuge.ch
Carole
C
Baumgartner
Marco
M
Roffi
Arnaud
A
Perrier
Sebastian
S
Carballo
D015906:Angioplasty, Balloon, Coronary; D003327:Coronary Disease / Q000175:diagnosis / Q000628:therapy*; D048909:Diabetes Complications; D006801:Humans; D019161:Hydroxymethylglutaryl-CoA Reductase Inhibitors / Q000627:therapeutic use
D019161:Hydroxymethylglutaryl-CoA Reductase Inhibitors