ACC/AHA/ACP-ASIM guidelines for the management of patients with chronic stable angina11This document was approved by the American College of Cardiology Board of Trustees in March 1999, the American Heart Association Science Advisory and Coordinating Committee in March 1999, and the American College of Physicians-American Society of Internal Medicine Board of Regents in February 1999.When citing this document, please use the following citation format: Gibbons RJ, Chatterjee K, Daley J, Douglas JS, Fihn SD, Gardin JM, Grunwald MA, Levy D, Lytle BW, O’Rourke RA, Schafer WP, Williams SV. ACC/AHA/ACP-ASIM guidelines for the management of patients with chronic stable angina: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee on the Management of Patients With Chronic Stable Angina). J Am Coll Cardiol 1999;33:2092–197.This document is available on the World Wide Web sites of the American College of Cardiology (www.acc.org) and the American Heart Association (www.americanheart.org). Reprints of this document are available by calling 1-800-253-4636 or writing the American College of Cardiology, Educational Services, at 9111 Old Georgetown Road, Bethesda, MD 20814-1699. Ask for reprint number 71-0166. To obtain a reprint of the Executive Summary and Recommendations published in the June 1, 1999 issue of Circulation, ask for reprint number 71-0167. To purchase bulk reprints (specify version and reprint number): Up to 999 copies call 1-800-611-6083 (US only) or fax 413-665-2671; 1000 or more copies call 214-706-1466, fax 214-691-6342, or e-mail [email protected]
Journal of the American College of CardiologyPublished 1 June 1999
Raymond J. Gibbons, Kanu Chatterjee, Jennifer Daley, John S. Douglas, Stephan D. Fihn, Julius M. Gardin
Citations633
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It is important that the medical profession play a significant role in critically evaluating the use of diagnostic procedures and therapies in the management or prevention of disease states.
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### Table of contents It is important that the medical profession play a significant role in critically evaluating the use of diagnostic procedures and therapies in the management or prevention of disease states. Rigorous and expert analysis of the available data documenting relative benefits and
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The benefits of coronary artery bypass surgery on survival, symptoms, and postinfarction mortality were transient and lasted fewer than 11 years.
New England Journal of MedicineType A Behavior and Survival after Acute Myocardial Infarction
203 Citations1985Robert B. Case, Stanley S. Heller +2 more
There was no relation between Type A behavior and the long-term outcome of acute myocardial infarction and the multivariate survivorship analyses found.
CirculationComparison of Cost-Effectiveness and Utility of Exercise ECG, Single Photon Emission Computed Tomography, Positron Emission Tomography, and Coronary Angiography for Diagnosis of Coronary Artery Disease
199 Citations1995Randolph E. Patterson, Robert L. Eisner +1 more
It is essential to consider the clinical history (pCAD) when selecting the clinical algorithm to make a diagnosis with the lowest cost per effect or cost per utility unit when estimating total costs of diagnostic tests for CAD.
The American Journal of CardiologyUsefulness of two-dimensional echocardiography for immediate detection of myocardial ischemia in the emergency room
197 Citations1990Cathinka H. Peels, Cees A. Visser +3 more
2-DE during pain and a nondiagnostic electrocardiogram can readily identify patients with CAD in the emergency room, and it can accurately rule out an acute myocardial infarction.
BMJObjective assessment of antianginal treatment: a double-blind comparison of propranolol, nifedipine, and their combination.
193 Citations1980Peter G. Lynch, H. J. Dargie +2 more
The objective methods permitted greater separation of treatment efficacy and showed reliably that the combination of propranolol and nifedipine was significantly better than either drug alone, thus this combination is a safe and effective form of treatment for angina.
Annals of Internal MedicinePrediction of Cardiovascular Death in Men Undergoing Noninvasive Evaluation for Coronary Artery Disease
192 Citations1993K. Leigh Morrow, Charles K. Morris +11 more
The two main findings were that the results of coronary angiography and exercise-induced ST depression were not independently associated with cardiovascular death or infarct-free survival and the use of this larger cohort allowed assessment of work-up bias.
American Heart JournalPrognostic value of a normal exercise echocardiogram
191 Citations1990Stephen G. Sawada, Thomas Ryan +4 more
A normal exercise echocardiogram in a patient with good exercise capacity was predictive of an excellent prognosis, even in those who had abnormal exercise ECGs, and myocardial infarction and death were rare events,Even in patients with decreased exercise capacity.
The American Journal of CardiologyExercise radionuclide imaging approaches to coronary artery disease
189 Citations1980Robert D. Okada, Charles A. Boucher +2 more
The diagnostic accuracy and clinical utility of these two tests for the detection of coronary artery disease are compared and the strengths and weaknesses of each approach are discussed.
BMJDouble-blind Evaluation of Verapamil, Propranolol, and Isosorbide Dinitrate against a Placebo in the Treatment of Angina Pectoris
188 Citations1973B Livesley, P F Catley +2 more
Isosorbide dinitrate (20 mg three times a day) appears to be no more effective than a placebo in the treatment of angina on effort, but 14 out of 32 patients experienced headache of such severity that even when the dose was reduced to 10 mg thrice daily this drug therapy had to be withdrawn.
The American Journal of MedicineMural thrombi in myocardial infarctions
186 Citations1983Edward C. Keating, Steven Gross +5 more
The presence of a mural thrombus can be accurately identified in patients with acute myocardial infarction and predicted in a subgroup of those patients who should be considered for anticoagulation to prevent systemic embolization and followed with serial two-dimensional echocardiography.
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