2002, Number S1
Pharmacological therapy of angina pectoris. Indications and results
Language: Spanish
References: 12
Page: 202-206
PDF size: 54.19 Kb.
ABSTRACT
The pharmacological treatment of the angina pectoris syndromes consists of: a) anti-ischemic therapy to relieve the symptoms and improve the quality of life, b) treatment aimed at preventing myocardial infarction and death, and c) measures to modify or reduce the risk factors for coronary disease. Revascularization procedures, coronary artery bypass grafting, or percutaneous coronary interventions, are used to improve prognosis, relieve symptoms, prevent ischemic complications, and improve functional capacity. In patients with mild angina, medical therapy, percutaneous coronary interventions and coronary artery bypass surgery are all reasonable options. However, there are indications for pharmacological treatment in the great majority of patients with angina. After a revascularization procedure the patient should continue to receive antiplatelet agents and follow a program of coronary risk factors modification.REFERENCES
Gibbons RJ, Chatterjee K, Daley J, Douglas JS, Fihn SD, Gardin JM et al: ACC/ AHA/ACP-ASIM Guidelines for the Management of Patients With Chronic Stable Angina. A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. (Committee on Management of Patients With Chronic Stable Angina). J Am Coll Cardiol 1999; 33: 2092-2197.
Braunwald E, Antman EM, Beasley JW, Califf RM, Cheitlin MD, Hochman JS et al: ACC/AHA Guidelines for the Management of Patients With Unstable Angina and Non-ST-Segment Elevation Myocardial Infarction. A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines) Committee on Management of Patients With Unstable Angina). J Am Coll Cardiol 2000; 36: 970-1062.
Hueb WA, Bellotti G, Almeida de Oliveira S, Arie S, Piva de Albuquerque C, Jatene AD Pileggi F: The Medicine, Angioplasty or Surgery Study (MASS): A Prospective, Randomized Trial of Medical Therapy, Balloon Angioplasty or Bypass Surgery for Single Proximal Left Anterior Descending Artery Stenoses. J Am Coll Cardiol 1995; 26: 1600-1605.