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Angina due to Obstructive Atherosclerotic Coronary Artery Disease: Diagnosis and Patient Risk Stratification

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Essentials in Stable Angina Pectoris

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Abstract

Chronic stable angina pectoris is the initial manifestation of ischemic heart disease in approximately 50 % of individuals. Exercise related angina caused by obstructive atherosclerotic coronary artery disease is the most common manifestation of ischaemic heart disease in men over 50 years of age and in post-menopausal women. Severe coronary artery stenoses resulting from atheromatous plaque growth can impair coronary blood flow supply to the myocardium, particularly when there is an increased myocardial oxygen demand. Patients who present with chest pain of suspected cardiac origin require accurate and timely diagnosis to guide the implementation of appropriate investigations and therapeutic interventions. Patient risk stratification is important in relation to strategic therapeutic decisions as well as the implementation of primary and secondary prevention. The importance of the clinical history as well as the appropriate use of diagnostic tests is the topic of this chapter.

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    Juan Carlos Kaski

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Kaski, J.C. (2016). Angina due to Obstructive Atherosclerotic Coronary Artery Disease: Diagnosis and Patient Risk Stratification. In: Essentials in Stable Angina Pectoris. Springer, Cham. https://doi.org/10.1007/978-3-319-41180-4_3

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