Acute and Stable Ischemic Heart Disease: Clinical Presentation Number: 1171-442 2018 American College of Cardiology Foundation [onlinejacc.org]

When patients present with symptoms of chronic stable angina, doctors should estimate the risk for heart disease on the basis of age, sex, risk factors, nature of symptoms, and a resting electrocardiogram. [annals.org]

Atypical presentation can be more convoluted in presentation and involve a wide range of symptoms. For example, an atypical patient may present with dyspnea instead of chest pain and this is termed an angina equivalent. [wikidoc.org]

A 57-year-old Caucasian female patient presents with a history of mild angina (Canadian Cardiovascular Society (CCS) Class I). She gives no family history of vascular disease or diabetes but smokes 20 cigarettes a day. [academic.oup.com]

This writing committee will consider all the recent evidence, including late-breaking clinical trials recently presented. [ahajournals.org]

• S3 Gallop

  I (A) Modified recommendation (changed text and COR LOE added) Treat all patients indefinitely post-MI; start early in stable high-risk patients (anterior MI, previous MI, Killip class II [S3, gallop, rales, radiographic CHF]). [ahajournals.org]

• Cardiomegaly

  The presentation of cardiomegaly, characterized by pulmonary congestion on a chest x-ray, is indicative of a poor prognosis for the patient. [14] Myocardial Perfusion Scintigraphy with Pharmacologic Stress Pharmacologic stress testing using myocardial [wikidoc.org]

• Low Back Pain

  Moreover, multiple studies have shown that people living with CSA are among the more severely debilitated across several chronic illness populations including sciatica, arthritis, low back pain, diabetes and stroke [ 11 - 15 ]. [intechopen.com]

• Back Pain

  Moreover, multiple studies have shown that people living with CSA are among the more severely debilitated across several chronic illness populations including sciatica, arthritis, low back pain, diabetes and stroke [ 11 - 15 ]. [intechopen.com]

• Denial

  "[E]vidence-based reimbursement does not encourage the denial of care; it encourages more appropriate care given the available evidence," say Diamond and Kaul. [cardiovascularbusiness.com]

• Forgetful

  Is there a Failure to Optimize theRapy in anGina pEcToris (FORGET) study? QJM 2010; 103 :305–10. [bjcardio.co.uk]

• Lethargy

  Although the majority of patients tolerate beta-blockers, some patients may experience fatigue, sexual dysfunction, lethargy, or sleep disturbances. [uspharmacist.com]

• Sciatica

  Moreover, multiple studies have shown that people living with CSA are among the more severely debilitated across several chronic illness populations including sciatica, arthritis, low back pain, diabetes and stroke [ 11 - 15 ]. [intechopen.com]

One patient in the WL group died of an acute MI and received no acupuncture treatment. [mdedge.com]

In these patients, treatments other than a beta blocker may be preferred. [bjcardio.co.uk]

The proportion of patients in each treatment group who had clinically significant changes in the other four Seattle Angina Questionnaire scales （The physical limitation, angina stability, treatment satisfaction, and quality of life） [ Time Frame: Day [clinicaltrials.gov]

Treatment strategies that begin with either immediate revascularization or optimal medical therapy with antianginal agents significantly improve angina frequency and quality of life. [ncbi.nlm.nih.gov]

In the INVEST Study, 17 over 22,500 patients with hypertension and CAD were randomised to a verapamil-based treatment regimen or an atenolol-based treatment regimen. [ecrjournal.com]

The patient’s main concern was not her angina but the effect the angina would have on her prognosis particularly as she had teenage children to bring up. [academic.oup.com]

The prognosis of stable angina varies widely depending on severity of symptoms, extent of atherosclerosis and presence of other risk factors and co-morbidities. The presence of impaired left ventricular function is associated with a poor prognosis. [wikidoc.org]

It helps define prognosis 5 and options for revascularisation. [nps.org.au]

The increase in the prevalence of DM and its associated adverse effect on CAD progression and prognosis has created a global health burden. [dovepress.com]

Prognosis of incident angina and non-cardiac chest pain in 8762 consecutive patients. Heart 2007; 93 :458–63. Buckley B, Murphy AW. [bjcardio.co.uk]

Etiology and Pathophysiology Anginal symptoms occur during times of myocardial ischemia caused by a mismatch between coronary perfusion and myocardial oxygen demand. [unboundmedicine.com]

This is a controversial topic, as no clear etiology has been seen. [healio.com]

Examples include increased catecholamine levels, as with vigorous exertion or mental-stress tachycardia of any etiology; hypertension; and left ventricular hypertrophy. [mdmag.com]

Etiology and pathogenesis: see Ischemic Heart Disease. Clinical Features and Natural History Top 1. Symptoms : The clinical diagnosis of angina is based on history. [empendium.com]

During the epidemiologic Dallas Heart Study, Banks and colleagues assessed 1,480 women to evaluate clinical characteristics of women with angina. [cardiovascularbusiness.com]

Epidemiology of Angina. In: Martin CR, Preedy VR, eds. The Scientific Basis of Health Care: Angina. Enfield, NH: Science Publishers; 2012:1-20. 2. Wilson PWF, Douglas PS, Alpert JS, Simons M, Breall JA. Prognosis after myocardial infarction. [medicographia.com]

This Primer by Campbell and colleagues discusses the epidemiology, mechanisms, diagnosis, prevention and treatment of ischaemic stroke. Bruce C. V. Campbell, Deidre A. De Silva, Malcolm R. Macleod, Shelagh B. Coutts, Lee H. Schwamm, Stephen M. [nature.com]

Epidemiology CAD is the leading cause of death for adults both in the United States and worldwide. CAD is responsible for about 1 in every 3 deaths in the United States alone. [unboundmedicine.com]

Epidemiology and Demographics Coronary artery disease (CAD) remains the single leading cause of death in the United States. Stable angina is the initial manifestation of ischemic heart disease in approximately 50% of these patients. [wikidoc.org]

Pathophysiology [ edit ] Angina results when there is an imbalance between the heart's oxygen demand and supply. [en.wikipedia.org]

States of increased oxygen demand or decreased supply, as described in Pathophysiology, may cause angina. [healio.com]

Etiology and Pathophysiology Anginal symptoms occur during times of myocardial ischemia caused by a mismatch between coronary perfusion and myocardial oxygen demand. [unboundmedicine.com]

Primary coronary microvascular dysfunction: clinical presentation, pathophysiology and management. Circulation 2010; 121 :2317–25. Camici PG, Crea F. Coronary microvascular dysfunction. N Engl J Med 2007; 356 :830–40. [bjcardio.co.uk]

Recent advances in the management of chronic stable angina I: approach to the patient, diagnosis, pathophysiology, risk stratification, and gender disparities. Vasc Health Risk Manag. 2010 ;6: 635 – 56. Google Scholar Crossref Medline 15. [journals.sagepub.com]

The NSF recommends that acute chest pain is treated initially with sublingual nitrate therapy. 2 Background (prophylactic) therapy with beta-blockers, other nitrates or calcium channel blockers is indicated in all patients to prevent recurrence of an [pharmaceutical-journal.com]

Heart Association Council for High Blood Pressure Research and the Councils on Clinical Cardiology and Epidemiology and Prevention. [wikidoc.org]

The goals of therapy are therefore to stabilize plaque and prevent progression and prevent or reduce damage from plaque rupture and thrombotic complications. [dovepress.com]

Low-dose aspirin and statins are prescribed to prevent cardiovascular events. Introduction Cardiovascular disease is the leading cause of death in Australia. [nps.org.au]

The Heart Outcomes Prevention Evaluation Study Investigators, N. Engl. J. Med. (2000);342: pp. 145-153. [ecrjournal.com]