Treating Angina Pectoris in Hypertension
It is estimated that 13.5 million people in the United States have ischemic heart disease (IHD), and 1.5 million new cases are diagnosed each year. IHD remains the leading cause of mortality, resulting in approx 500,000 deaths annually. Many studies have identified specific risk factors for coronary artery disease (CAD). These include a family history, diabetes mellitus, hypertension, hyperlipidemia, and smoking. The incidence of cardiovascular events increases with the number of risk factors present and is greater than would be predicted by their combined presence. Primary and secondary prevention including effective blood pressure (BP) control and lowering of serum cholesterol levels, together with significant strides in the treatment of IHD, have resulted in significant reductions in morbidity and mortality. In this chapter, we review the management of the hypertensive patient with IHD.
KeywordsHeart Outcome Prevention Evaluation Study Recurrent Cardiovascular Event Antianginal Medication Percutaneous Trans Luminal Coronary Angioplasty Nitrate Nitrate
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