Mazel J A
Ned Tijdschr Geneeskd. 2004 Nov 6;148(45):2212-3.
The Dutch College of General Practitioners' (Dutch acronym: NHG) practice guideline 'Stable angina pectoris' (second revision) provides clear guidelines for the diagnosis and treatment of patients who experience chest pains as a result of angina pectoris, especially if coronary artery disease is the underlying cause of the complaints. The practice guideline clearly indicates for which complaints the general practitioner should suspect angina pectoris and which information from the anamnesis, family history and risk factors can contribute to distinguishing between stable and unstable angina pectoris. However, the physical examination should not be omitted because this can provide important indications for coronary or pulmonary dysfunction. According to the practice guideline, the treatment policy is determined by the estimated risk of significant coronary artery disease. However, additional tests can be useful even in the case of a small risk, as these can reassure patients. The indications and contraindications for medicinal substances are clearly presented.
荷兰全科医生学院（荷兰语缩写：NHG）的实践指南《稳定型心绞痛》（第二版修订本）为因心绞痛而胸痛的患者的诊断和治疗提供了明确的指导方针，特别是当冠状动脉疾病是这些症状的潜在病因时。该实践指南明确指出了全科医生应怀疑心绞痛的症状，以及病史、家族史和风险因素中的哪些信息有助于区分稳定型和不稳定型心绞痛。然而，体格检查不应省略，因为这可以为冠状动脉或肺功能障碍提供重要线索。根据该实践指南，治疗策略由显著冠状动脉疾病的估计风险决定。然而，即使风险较小，额外的检查也可能有用，因为这些检查可以让患者安心。药物的适应证和禁忌证都有明确说明。
