Angina

A focused update of the 2002 ACC/AHA guidelines amends secondary prevention recommendations.

To identify the patient characteristics most associated with quality-of-life (QOL) improvement after elective percutaneous coronary intervention (PCI), researchers studied patients without acute MI who underwent . . .

The 2007 guidelines emphasize early diagnosis and risk stratification to guide decisions on invasive vs. noninvasive treatment. CME Exam

Derived from outpatient data in 34 European countries

A new model derived from data from the ACTION trial

Changes in left-ventricle size and shape (LV remodeling) are associated with increased mortality risk after MI. To assess the potential link between pre-MI angina pectoris . . .

These revised guidelines for chronic stable angina outline how best to manage not only symptomatic -- but also asymptomatic -- patients with known or suspected coronary artery disease.

Levels of C-reactive protein (CRP), an inflammatory marker, are elevated in patients with unstable angina or MI. Elevated CRP also predicts risk in healthy subjects . . .

Most major trials of statins for the secondary prevention of coronary artery disease have recruited only patients with previous MI or stable angina. However, the . . .

Androgens induce coronary vasodilation, which raises the question of whether androgen supplementation might help control angina episodes. For this British study, 46 men with stable . . .

The pathophysiology of unstable angina at restenotic sites of percutaneous transluminal coronary angioplasty differs from that of classic unstable angina. Restenotic lesions exhibit a more . . .

A small number of patients who present with clear-cut angina pectoris and documented stress-induced ischemia show normal coronary arteries on angiography. In this case series . . .

Choosing the most effective method of treatment for stable angina remains controversial. In this U.S. study, investigators reviewed 90 randomized or crossover antianginal trials, including . . .

The benefits of intravenous platelet IIb/IIIa inhibition are now established during angioplasty, and several agents have also proven useful in unstable angina. The PARAGON trial . . .

Several studies have demonstrated a favorable effect of preinfarction angina on the outcome of patients with MI. These Japanese investigators sought to determine whether preinfarction . . .

The role of revascularization in the treatment of stable angina pectoris remains controversial. In this trial, 20 centers in the United Kingdom and Ireland randomized . . .

A subset of patients with unstable angina have raised concentrations of Troponin T, a cardiac-specific protein that indicates minor myocardial damage. Its detection has been . . .

Activation of the blood coagulation system often occurs in unstable angina. The purpose of this prospective study was to determine if measurements of fibrinopeptide A, . . .

Should unstable angina be treated by specialists or by primary care physicians? An observational study at a major community hospital compared 225 consecutive patients for . . .

Previous studies found preinfarction angina to unfavorably affect clinical outcome of MI; however, few controlled for multivessel disease, prior MI, and non-Q-wave MI, common factors . . .