University of Cyprus Medical School, Nicosia, Cyprus.
Second Department of Cardiology, Attikon University Hospital, National and Kapodistrian University of Athens Medical School, Athens, Greece.
J Cardiovasc Pharmacol. 2019 Oct;74(4):308-314. doi: 10.1097/FJC.0000000000000716.
Stable angina affects a significant number of coronary artery disease patients, impairing their quality of life and worsening their prognosis. It manifests even despite a history of revascularization and is often poorly controlled with drug therapy. Comorbid conditions are frequently encountered in coronary artery disease patients, affecting their prognosis and rendering the diagnosis and management of angina more challenging. In this article, derived by an expert panel meeting, we attempt a practical approach to stable angina, focusing on symptomatic patients subjected to previous coronary revascularization or not suitable for revascularization and providing handy diagnostic and therapeutic algorithms and comorbidity-adjusted therapeutic approaches in accordance with existing evidence, current recommendations, and locally available therapeutic options.
稳定型心绞痛影响了大量的冠心病患者，降低了他们的生活质量并使预后恶化。即使有血管重建术的历史，药物治疗也常常控制不佳。合并症在冠心病患者中经常遇到，影响他们的预后，使心绞痛的诊断和管理更加具有挑战性。在这篇文章中，我们根据专家小组会议的讨论，尝试对稳定型心绞痛进行一种实用的处理方法，重点关注那些已经接受过冠状动脉血运重建术或不适合血运重建术的有症状患者，并根据现有证据、当前建议和当地可用的治疗选择，提供便捷的诊断和治疗算法以及合并症调整的治疗方法。
