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 Topic : Chronic Stable Angina

ACC/AHA/ACP-ASIM Guidelines For The Management of Patients With Chronic Stable Angina

Angina is a clinical syndrome characterized by discomfort in the chest, jaw, shoulder, back or arm. It is typically aggravated by exertion or emotional stress and relieved by nitroglycerin. Angina usually occurs in patients with CAD involving >1 large epicardial artery. However, angina can also occur in persons with valvular heart disease, hypertrophic cardiomyopathy and uncontrolled hypertension. It can be present in patients with normal coronary arteries and myocardial ischemia related to spasm or endothelial dysfunction. Angina is also a symptom in patients with noncardiac conditions of the esophagus, chest wall or lungs. Once cardiac causes have been excluded, the management of patients with these noncardiac conditions is outside the scope of these guidelines.

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Revised March 16, 2004.