Overview
Stable angina refers to predictable episodes of myocardial ischemia, usually triggered by exertion or emotional stress and relieved by rest or anti-ischemic therapy.
Clinical Features
Typical symptoms are central pressure or tightness brought on by exertion and relieved with rest.
Radiation to the arm, neck, jaw, shoulder, or epigastrium may occur.
Assessment
Assessment includes cardiovascular risk factors, resting ECG, and appropriate non-invasive evaluation based on pre-test probability.
Management
Management includes lifestyle modification, risk-factor management, anti-anginal therapy, and cardiovascular preventive treatment.
Revascularization may be considered when symptoms remain limiting despite optimal medical treatment or when significant coronary anatomy is identified.
Clinical Pearls
Stable angina is defined by its predictability: exertion causes ischemic pain, while rest reduces myocardial demand.
END OF REVIEW
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