Evaluation of Primary Care Patients with Chronic Stable Angina: Guidelines from the American College of Physicians

  1. Vincenza Snow, MD;
  2. Patricia Barry, MD, MPH;
  3. Stephan D. Fihn, MD, MPH;
  4. Raymond J. Gibbons, MD;
  5. Douglas K. Owens, MD;
  6. Sankey V. Williams, MD;
  7. Kevin B. Weiss, MD, MPH;
  8. Christel Mottur-Pilson, PhD; and
  9. the ACP/ACC Chronic Stable Angina Panel*
  1. From the American College of Physicians and University of Pennsylvania, Philadelphia, Pennsylvania; Merck Institute of Aging and Health, Washington, DC; Veterans Affairs Puget Sound Health Care System, Seattle, Washington; Mayo Clinic, Rochester, Minnesota; Veterans Affairs Palo Alto Health Care System, Palo Alto, California; and Hines Veterans Administration Hospital and Northwestern University, Chicago, Illinois.
    1. Figure 1. *In unusual circumstances (patients who are survivors of sudden cardiac death, have congestive heart failure, have special occupational requirements, or have stable but severe symptoms and cardiac risk factors), direct referral for cardiac angiography may be appropriate. ACC = American College of Cardiology; ECG = electrocardiogram; LV = left ventricular; MI = myocardial infarction; WPW = Wolff–Parkinson–White syndrome.
      View larger version:
      Figure 1. *In unusual circumstances (patients who are survivors of sudden cardiac death, have congestive heart failure, have special occupational requirements, or have stable but severe symptoms and cardiac risk factors), direct referral for cardiac angiography may be appropriate. ACC = American College of Cardiology; ECG = electrocardiogram; LV = left ventricular; MI = myocardial infarction; WPW = Wolff–Parkinson–White syndrome. Evaluation of suspected coronary artery disease (CAD).
    2. Figure 2. CAD = coronary artery disease; MI = myocardial infarction.
      View larger version:
      Figure 2. CAD = coronary artery disease; MI = myocardial infarction. Algorithm for exercise electrocardiography (ECG) and angiography.

    Summary for Patients

    • Summaries for Patients:Diagnosis and Evaluation of Patients with Chronic Stable Angina: Recommendations from the American College of Physicians Ann Intern Med July 6, 2004 141:I-84
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    1. Ann Intern Med July 6, 2004 vol. 141 no. 1 57-64
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      1. Summary for Patients

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