BMJ  2003;326:1185-1188 (31 May), doi:10.1136/bmj.326.7400.1185

Clinical review

ABC of interventional cardiology

Chronic stable angina: treatment options

Laurence O'Toole, consultant cardiologist and physician, Ever D Grech, consultant cardiologist, assistant professor

Royal Hallamshire Hospital, Sheffield, Health Sciences Centre and St Boniface Hospital, Winnipeg, Manitoba, Canada, University of Manitoba, Winnipeg

The first 150 words of the full text of this article appear below.

Introduction

In patients with chronic stable angina, the factors influencing the choice of coronary revascularisation therapy (percutaneous coronary intervention or coronary artery bypass surgery) are varied and complex. The severity of symptoms, lifestyle, extent of objective ischaemia, and underlying risks must be weighed against the benefits of revascularisation and the patient's preference, as well as local availability and expertise. Evidence from randomised trials and large revascularisation registers can guide these decisions, but the past decade has seen rapid change in medical treatment, bypass surgery, and percutaneous intervention. Therefore, thought must be given to whether older data still apply to contemporary practice.


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  		Major factors influencing risks and benefits of coronary revascularisation

 

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  		Top: Diagrams of saphenous vein and left internal mammary artery grafts for coronary artery bypass surgery. Bottom: Three completed grafts—(1) left internal mammary artery (LIMA) to left anterior descending artery (LAD), and saphenous vein grafts (SVG) to (2) diagonal artery (DG) . . . [Full text of this article]

 

Treatment strategies

Comparative studies of revascularisation strategies

Refractory coronary artery disease


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Risk score for predicting death, myocardial infarction, and stroke in patients with stable angina, based on a large randomised trial cohort of patients
Tim C Clayton, Jacobus Lubsen, Stuart J Pocock, Zoltán Vokó, Bridget-Anne Kirwan, Keith A A Fox, Philip A Poole-Wilson on behalf of the ACTION investigators
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This article has been cited by other articles:

  • Clayton, T. C, Lubsen, J., Pocock, S. J, Voko, Z., Kirwan, B.-A., Fox, K. A A, Poole-Wilson, P. A, on behalf of the ACTION investigators, (2005). Risk score for predicting death, myocardial infarction, and stroke in patients with stable angina, based on a large randomised trial cohort of patients. BMJ 331: 869- [Abstract] [Full text]  

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