Medical therapy for chronic refractory angina

Gregory W. Barsness, Thomas J. Kiernan, David Holmes

Research output: Chapter in Book/Report/Conference proceedingChapter


Medical therapy is the cornerstone of treatment for patients with chronic refractory angina, as it is across the entire spectrum of vascular disease. As part of a comprehensive risk modification program, including exercise, diet, and appropriate revascularization, optimal medical therapy offers significant benefit in reducing symptoms of ischemic heart disease and improving long-term prognosis. Indeed, current medical regimens, far superior to those offered only a decade ago, afford patients with refractory angina a marked survival benefit. Newer agents have demonstrated a marked symptomatic benefit, as well. This chapter will explore the importance of optimal medical therapy in improving prognosis, as well as details potential for imparting a much needed boost to quality of life and symptom amelioration.

Original languageEnglish (US)
Title of host publicationCoronary Artery Disease
Subtitle of host publicationNew Approaches without Traditional Revascularization
PublisherSpringer-Verlag London Ltd
Number of pages13
ISBN (Electronic)9781846287121
ISBN (Print)1846284600, 9781846284601
StatePublished - Apr 1 2012

ASJC Scopus subject areas

  • Medicine(all)

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  • Cite this

    Barsness, G. W., Kiernan, T. J., & Holmes, D. (2012). Medical therapy for chronic refractory angina. In Coronary Artery Disease: New Approaches without Traditional Revascularization (Vol. 9781846287121, pp. 39-51). Springer-Verlag London Ltd.