Medical treatment of stable angina: a tailored therapeutic approach

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Item Type:	Review
Title:	Medical treatment of stable angina: a tailored therapeutic approach
Creators Name:	Manolis, A.J., Poulimenos, L.E., Ambrosio, G., Kallistratos, M.S., Lopez-Sendon, J., Dechend, R., Mancia, G. and Camm, A.J.
Abstract:	Treatment of stable angina is often challenging. In spite of several therapeutic approaches, many of these patients still have symptoms, which inevitably affect their daily activity and quality of life. Current ESC guidelines suggest an algorithm for the medical treatment of stable angina categorizing antianginal drugs as first- or second-line therapy, and then providing little suggestions to guide choice within each step. However, several questions emerge: Is there evidence for such an approach? Is there a true difference between first and second-line drugs in terms of prognosis and symptom relief? Is it possible to individualize patients and tailor treatment according to their comorbidities or risk factors? The purpose of this review is to summarize the evidence behind stable angina treatment recommendations, and to suggest a systematic therapeutic approach tailored to patients' cardiovascular profile, risk factors, and comorbidities.
Keywords:	Stable Angina, Prognosis, Symptom Relief, Angina Drugs
Source:	International Journal of Cardiology
ISSN:	0167-5273
Publisher:	Elsevier
Volume:	220
Page Range:	445-453
Date:	1 October 2016
Official Publication:	https://doi.org/10.1016/j.ijcard.2016.06.150
PubMed:	View item in PubMed

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