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Management of stable coronary artery disease: from evidence to clinical practice

Riccardo Gerloni, Luciano Mucci, Tiziana Ciarambino, Manuel Ventura, Valeria Baglio, Massimiliano Chiuch, Francesca Saladini, Stefania Dorigoni, Davide Tizzani, Paola Gnerre
  • Riccardo Gerloni
    Emergency Medicine, Cattinara Hospital, Trieste, Italy
  • Luciano Mucci
    Internal Medicine, Santa Croce Hospital, Fano (PU), Italy
  • Tiziana Ciarambino
    Internal Medicine, Marcianise Hospital, Caserta, Italy
  • Manuel Ventura
    General Medicine, Ospedale degli Infermi, Rivoli (TO), Italy
  • Valeria Baglio
    Medical Clinic, Cattinara Hospital, Trieste, Italy
  • Massimiliano Chiuch
    Medical Clinic, Cattinara Hospital, Trieste, Italy
  • Francesca Saladini
    Department of Cardiology, Camposampiero Hospital, Padova, Italy
  • Stefania Dorigoni
    Internal Medicine, Santa Chiara Hospital, Trento, Italy
  • Davide Tizzani
    Emergency and Surgery Medicine, Ospedale degli Infermi, Rivoli (TO), Italy
  • Paola Gnerre
    Internal Medicine, San Paolo Hospital, Savona, Italy | pgnerre@yahoo.it

Abstract

Ischemic heart disease, the leading cause of death, is extremely diffuse among patients hospitalized in Internal Medicine ward so that Internist should be able to manage correctly this disease. The following review revises the most recent literature and offers a practical clinical guide to be confident on this topic. After having emphasized that clinical overview remains essential, it briefly mentions advantages and limits of different investigations, reminds readers of possible alternative etiopathogeneses of ischemic heart disease (cardiac syndrome X), reports the most appropriate medical therapy, and gives the opportunity to understand appropriateness of specialist strategies such as coronary artery by-pass grafting and percutaneous coronary intervention. Finally, it illustrates a rational and evidence-based follow-up of these patients, considering that only a small part of them should be followed by a Cardiologist. The aim of a correct management of ischemic heart disease remains to reduce mortality and improve the quality of life.

Keywords

Ischemic heart disease; stable coronary artery disease; angina.

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Submitted: 2016-06-30 11:39:41
Published: 2017-06-14 12:04:04
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Copyright (c) 2017 Riccardo Gerloni, Luciano Mucci, Tiziana Ciarambino, Manuel Ventura, Valeria Baglio, Massimiliano Chiuch, Francesca Saladini, Stefania Dorigoni, Davide Tizzani, Paola Gnerre

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