Management of chronic ischemic heart disease into internal medicine and geriatric departments in Italy
Chronic ischemic heart disease (IHD), represented by stable angina pectoris, is currently a major clinical and social problem; its estimated prevalence in Europe is of about 30,000–40,000 people per million inhabitants. However, published data often underestimate the real prevalence of the disease, because they do not take into account asymptomatic IHD, patients who have clinical manifestations of ischemia in the absence of diagnosed IHD, or patients who have a known coronary disease but clinical manifestations different from angina, such as congestive heart failure .
The prevalence of chronic IHD is progressively increasing for the following reasons: (a) the aging of population; (b) the reduction in mortality during acute coronary syndrome, with consequent increase of progression to stability; (c) the increase of some risk factors such as obesity and diabetes .
Even if stable angina is the most frequent clinical manifestation of chronic IHD, many patients may not...
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