2013 esc guidelines on the management of stable coronary artery disease pdf. 2013 ESC guidelines on the management of stable coronary artery disease: the Task Force on the management of stable coronary artery disease of the European Society of Cardiology.

(PDF) 2013 ESC guidelines on the management of stable coronary artery disease: The Task Force on the management of stable coronary artery disease of the European Society of Cardiology

2013 esc guidelines on the management of stable coronary artery disease pdf

Epidemiological data on microvascular angina and vasospastic angina are missing. These levels are usually below the levels defined as being elevated. Recommendations for the management of patients in these clinical situations are given in the respective guidelines. High-sensitivity cardiac troponin I and the diagnosis of coronary artery disease in patients with suspected angina pectoris. However, as fatal complications may occur with intravenous injection of ergonovine, due to prolonged spasm involving multiple vessels, the intracoronary route is preferred. A discontinuous administration at 12 h intervals allows on and off effects to start within minutes and last 3—5 h.

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2013 ESC Guidelines (Chronic Stable Angina)

2013 esc guidelines on the management of stable coronary artery disease pdf

Ezetimibe added to statin therapy after acute coronary syndromes. Of course, thoracic pain may also be due to gastro-oesophageal reflux disease, musculo-skeletal problem, aortic disease or pericardial disease. The event prevention is optimally achieved by the prescription of antiplatelet agents and statins. Sensitivity and specificity are often used to describe the accuracy of a given diagnostic method, but they incompletely describe how a test performs in the clinical setting. One-year cardiovascular event rates in outpatients with atherothrombosis.

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Stable Coronary Artery Disease: Treatment

2013 esc guidelines on the management of stable coronary artery disease pdf

Consequently, annual mortality rate was as high as 3. Accordingly, absolute estimates of event risk derived from these studies probably overestimate the risk of future events. Empagliflozin, cardiovascular outcomes, and mortality in type 2 diabetes. Table 9 Echocardiography Recommendations Classa Level b Ref. A new drug with promise for this condition is ranolazine. Long-acting nifedipine is especially well-tested in hypertensive anginal patients when added to β-blockade.

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2013 ESC guidelines on the management of stable coronary artery disease: the Task Force on the management of stable coronary artery disease of the European Society of Cardiology.

2013 esc guidelines on the management of stable coronary artery disease pdf

Table 15 Use of exercise or pharmacologic stress testing in combination with imaging Recommendations Classa Level b Ref. We have no objection to the first 2 points. Sublingual nitroglycerin is the standard initial therapy for effort angina. In the Fractional Flow Reserve vs. Patel A, MacMahon S, Chalmers J, et al. Angina on walking one to two blocksa stairs in normal conditions and at a normal pace. Gitt, Jean-Sebastien Hulot, Nikolaus Marx, Lionel H.

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The 2013 ESC Stable CAD Guidelines

2013 esc guidelines on the management of stable coronary artery disease pdf

A , Beta blockers should be continued for up to three years after myocardial infarction in patients with abnormal left ventricular function. Isosorbide dinitrate oral preparation is frequently given for the prophylaxis of angina. Such pain typically occurs at night and in the early morning hours. In a crucial placebo-controlled study, exercise duration improved significantly for 6—8 h after single oral doses of 15—120mg isosorbide dinitrate, but for only 2 h when the same doses were given repetitively four times daily, despite much higher plasma isosorbide dinitrate concentrations during sustained than during acute therapy. Ivabradine is thus an effective anti-anginal agent, alone or in combination with β-blockers.

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The 2013 ESC Stable CAD Guidelines

2013 esc guidelines on the management of stable coronary artery disease pdf

Stephan Achenbach explained the basic philosophy of the guidelines. Although lowering the heart rate 50% reduction if the target level cannot be reached. Patients with chest pain are often seen in general practice. It is also the health professional's responsibility to verify the rules and regulations applicable to drugs and devices at the time of prescription. Claeys Belgium , Norbert Donner-Banzhoff Germany , Cetin Erol Turkey , Herbert Frank Austria , Christian Funck-Brentano France , Oliver Gaemperli Switzerland , JoseR. It can also be considered as first-line treatment in the situations discussed below.

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2013 ESC guidelines on the management of stable coronary artery disease. The Task Force on the management of stable coronary artery disease of the European Society of Cardiology

2013 esc guidelines on the management of stable coronary artery disease pdf

It is, however, important to keep in mind that the grading system explicitly recognizes that rest pain may occur in all grades as a manifestation of associated and superimposed coronary vasospasm. The mechanisms are unclear and, if instituted at an earlier age i. Angina with strenuous or rapid or prolonged exertion at work or recreation. Exercise-based cardiac rehabilitation for coronary heart disease. The Guidelines do not, however, override the individual responsibility of health professionals to make appropriate decisions in the circumstances of the individual patients, in consultation with that patient and where appropriate and necessary the patient's guardian or carer. Refer for psychotherapy, medication or collaborative care in the case of clinically significant symptoms of depression, anxiety and hostility. Guidelines and recommendations should help physicians to make decisions in their daily practice: however, the final decisions concerning an individual patient must be made by the responsible physician s.

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