title: [Position paper of the Italian Society of Invasive Cardiology (SICI-GISE) on indications for coronary angiography in patients with stable angina].
abstract: Available data suggest a steep increase in stable coronary artery disease with age. Its prevalence reaches a peak of almost 12-14% in men aged 65-84 years with an annual mortality ranging from 1.2% to 2.4%. The diagnosis of stable angina is primarily based on history and therefore relies on clinical judgment. In addition, its diagnosis can be extremely challenging because of the frequent transition from unstable to stable angina. Current European guidelines on the management of stable coronary artery disease give increased importance to the pre-test probability, which strongly affects the diagnostic algorithms. Imaging techniques play a greater role in the diagnosis of stable angina than in the past. Conversely, despite recent advances in technology and in the physiological assessment of coronary stenosis, an ever decreasing relevance is conferred to coronary angiography. Another difficult and controversial issue relates to the prognostic benefit of myocardial revascularization. The aim of this position paper is to review the most relevant clinical aspects of the European guidelines on the management of stable coronary artery disease.
authors.affiliation: U.O.C. Cardiologia Interventistica, Anthea Hospital, GVM Care & Research, Bari.
authors.forename: Alfredo
authors.initials: A
authors.lastname: Marchese
authors.affiliation: Dipartimento Cardiovascolare, A.O. Papa Giovanni XXIII, Bergamo.
authors.forename: Roberta
authors.initials: R
authors.lastname: Rossini
authors.affiliation: U.O.C. Cardiologia Interventistica, Anthea Hospital, GVM Care & Research, Bari.
authors.forename: Marco
authors.initials: M
authors.lastname: Basile
authors.affiliation: Dipartimento di Cardiologia, IRCCS Policlinico San Donato, San Donato Milanese (MI).
authors.forename: Francesco
authors.initials: F
authors.lastname: Bedogni
authors.affiliation: U.O. Cardiologia, Ospedale Santa Corona, Pietra Ligure (SV).
authors.forename: Gian Battista
authors.initials: GB
authors.lastname: Danzi
authors.affiliation: Dipartimento Cardiovascolare, A.O. Papa Giovanni XXIII, Bergamo.
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Musumeci
authors.affiliation: U.O.C. Cardiologia Interventistica, Anthea Hospital, GVM Care & Research, Bari.
authors.forename: Valeria
authors.initials: V
authors.lastname: Paradies
authors.affiliation: Cardiologia 1-Emodinamica, A.O. Ospedale Niguarda Ca' Granda, Milano.
authors.forename: Emanuela
authors.initials: E
authors.lastname: Piccaluga
authors.affiliation: Dipartimento di Scienze Cardiovascolari, Respiratorie, Nefrologiche, Anestesiologiche e Geriatriche, Sapienza Università di Roma, Roma.
authors.forename: Gennaro
authors.initials: G
authors.lastname: Sardella
authors.affiliation: Dipartimento di Cardiologia, Ospedale degli Infermi, Rivoli (TO).
authors.forename: Ferdinando
authors.initials: F
authors.lastname: Varbella
authors.affiliation: U.O.C. Cardiologia Interventistica, Clinica Pineta Grande, Castel Volturno (CE).
authors.forename: Arturo
authors.initials: A
authors.lastname: Giordano
authors.affiliation: U.O. Cardiologia Diagnostica ed Interventistica, Fondazione Toscana "Gabriele Monasterio", Ospedale del Cuore, Massa.
authors.forename: Sergio
authors.initials: S
authors.lastname: Berti
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D060050:Angina, Stable / Q000175:diagnosis*; D017023:Coronary Angiography / Q000379:methods*; D003324:Coronary Artery Disease / Q000175:diagnosis* / Q000453:epidemiology; D006801:Humans; D007558:Italy; D008297:Male; D015995:Prevalence