Snow Vincenza, Barry Patricia, Fihn Stephan D, Gibbons Raymond J, Owens Douglas K, Williams Sankey V, Mottur-Pilson Christel, Weiss Kevin B
American College of Physicians and University of Pennsylvania, Philadelphia, Pennsylvania 19106, USA.
Ann Intern Med. 2004 Oct 5;141(7):562-7. doi: 10.7326/0003-4819-141-7-200410050-00014.
In 1999, the American College of Physicians (ACP), then the American College of Physicians-American Society of Internal Medicine, and the American College of Cardiology/American Heart Association (ACC/AHA) developed joint guidelines on the management of patients with chronic stable angina. The ACC/AHA then published an updated guideline in 2002, which ACP recognized as a scientifically valid review of the evidence and background paper. This ACP guideline summarizes the recommendations of the 2002 ACC/AHA updated guideline and underscores the recommendations most likely to be important to physicians seeing patients in the primary care setting. This guideline is the second of 2 that provide guidance on the management of patients with chronic stable angina. This document covers treatment and follow-up of symptomatic patients who have not had an acute myocardial infarction or revascularization procedure in the previous 6 months. Sections addressing asymptomatic patients are also included. Asymptomatic refers to patients with known or suspected coronary disease based on a history or electrocardiographic evidence of previous myocardial infarction, coronary angiography, or abnormal results on noninvasive tests. A previous guideline covered diagnosis and risk stratification for symptomatic patients who have not had an acute myocardial infarction or revascularization procedure in the previous 6 months and asymptomatic patients with known or suspected coronary disease based on a history or electrocardiographic evidence of previous myocardial infarction, coronary angiography, or abnormal results on noninvasive tests.
1999年，当时名为美国内科医师学会-美国内科医学协会的美国内科医师学会（ACP）与美国心脏病学会/美国心脏协会（ACC/AHA）联合制定了慢性稳定型心绞痛患者管理指南。ACC/AHA随后于2002年发布了一份更新指南，ACP认可其为对证据和背景文件的科学有效综述。本ACP指南总结了2002年ACC/AHA更新指南的建议，并强调了对在初级保健环境中诊治患者的医生最可能重要的建议。本指南是为慢性稳定型心绞痛患者管理提供指导的两份指南中的第二份。本文档涵盖了在过去6个月内未发生急性心肌梗死或血运重建手术的有症状患者的治疗和随访。也包括针对无症状患者的章节。无症状是指根据既往心肌梗死病史、冠状动脉造影或无创检查异常结果，有已知或疑似冠心病的患者。之前的一份指南涵盖了在过去6个月内未发生急性心肌梗死或血运重建手术的有症状患者以及根据既往心肌梗死病史、冠状动脉造影或无创检查异常结果有已知或疑似冠心病的无症状患者的诊断和风险分层。
