Evaluation of primary care patients with chronic stable angina: Guidelines from the American College of Physicians

Vincenza Snow, Patricia Barry, Stephan D. Fihn, Raymond J. Gibbons, Douglas K. Owens, Sankey V. Williams, Kevin B. Weiss, Christel Mottur-Pilson, Mark Aronson, Thomas Cross, Nick Fitterman, Rodney Hornbake, Katherine D. Sherif

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Abstract

In 1999, the American College of Physicians (ACP), then the American College of Physicians-American Society of Internal Medicine, and the American College of Cardiology/American Heart Association (ACC/AHA) developed joint guidelines on the management of patients with chronic stable angina. The ACC/AHA then published an updated guideline in 2002, which the ACP recognized as a scientifically valid review of the evidence and background paper. This ACP guideline summarizes the recommendations of the 2002 ACC/AHA updated guideline and underscores the recommendations most likely to be important to physicians seeing patients in the primary care setting. This guideline is the first of 2 that will provide guidance on the management of patients with chronic stable angina. This document will cover diagnosis and risk stratification for symptomatic patients who have not had an acute myocardial infarction or revascularization procedure in the previous 6 months. Sections addressing asymptomatic patients are also included. Asymptomatic refers to patients with known or suspected coronary disease based on history or on electrocardiographic evidence of previous myocardial infarction, coronary angiography, or abnormal results on noninvasive tests. A future guideline will cover pharmacologic therapy and follow-up.

Original languageEnglish (US)
Pages (from-to)57-64+I-84
JournalAnnals of internal medicine
Volume141
Issue number1
DOIs
StatePublished - Jul 6 2004

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ASJC Scopus subject areas

  • Internal Medicine

Cite this

Snow, V., Barry, P., Fihn, S. D., Gibbons, R. J., Owens, D. K., Williams, S. V., Weiss, K. B., Mottur-Pilson, C., Aronson, M., Cross, T., Fitterman, N., Hornbake, R., & Sherif, K. D. (2004). Evaluation of primary care patients with chronic stable angina: Guidelines from the American College of Physicians. Annals of internal medicine, 141(1), 57-64+I-84. https://doi.org/10.7326/0003-4819-141-1-200407060-00015