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Stable Angina: Methods, Evidence & Guidance [Internet]

Stable Angina: Methods, Evidence & Guidance [Internet]

NICE Clinical Guidelines - National Clinical Guidelines Centre (UK)

Version: July 2011

Secondary prevention

The aim of treatment for people with stable angina is to reduce symptoms suffered by patients and also to improve long term outcomes. Secondary prevention measures are important to reduce the progression of cardiovascular disease and are of established benefit for patients in certain circumstances e.g. post myocardial infarction – NICE Clinical Guideline 48 MI: Secondary prevention. NICE have also published a guideline NICE Clinical Guideline 67 Lipid modification which recommends statins for all patients with evidence of cardiovascular disease. This review therefore examined the evidence for use of aspirin and ace inhibitors in people with stable angina.

Beta blockers vs. calcium channel blockers

Anti-anginal drugs prevent attacks of angina by decreasing myocardial oxygen consumption (by lowering heart rate, blood pressure, myocardial loading, or myocardial contractility) and/or by increasing myocardial oxygen supply (by increasing coronary blood flow).

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