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

  • 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 | pgnerre@yahoo.it Internal Medicine, San Paolo Hospital, Savona, Italy.

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.

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Published
2017-06-14
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Issue
Section
Reviews
Keywords:
Ischemic heart disease, stable coronary artery disease, angina.
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How to Cite
Gerloni, R., Mucci, L., Ciarambino, T., Ventura, M., Baglio, V., Chiuch, M., Saladini, F., Dorigoni, S., Tizzani, D., & Gnerre, P. (2017). Management of stable coronary artery disease: from evidence to clinical practice. Italian Journal of Medicine, 11(2), 114-133. https://doi.org/10.4081/itjm.2017.755

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