ANGINA-STABLE ANGINA MANAGEMENT

SUMMARY

RISK-FACTOR MANAGEMENT
1. Diet: decrease saturated fats < 7% of total caloric intake; eliminate trans-fats; limit cholesterol intake < 200mg/day.

2. Exercise: 30-60min moderate-intensity aerobic exercise, 5-7 days/week.
3. Step-wise strategy in smoking cessation, avoid passive smoking.
4. Weight-loss.
5. BP < 140/90mmHg.

6. Annual influenza vaccine.

MEDICAL MANAGEMENT
7. Anti-platelet therapy: aspirin (clopidogrel if aspirin is contraindicated).
8. High-dose statin.
9. Beta-blockers (if LVEF < 40% or prior MI). Use Carvedilol, Metoprolol, Bisoprolol. CI in bradycardia, hypotension, 2/3^o AV block, pulmonary oedema, acute HF, asthma.
10. ACE inhibitors (if LVEF < 40%, DM, HTN, or CKD).

Reference(s)

Wilkinson, I., Furmedge, D. and Sinharay, R. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press. Get it on Amazon.
Feather, A., Randall, D. and Waterhouse, M. (2020). Kumar And Clark’s Clinical Medicine. 10th ed. S.L.: Elsevier Health Sciences. Get it on Amazon.
Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
Therapeutic Guidelines. Melbourne: Therapeutic Guidelines Limited. https://www.tg.org.au [Accessed 2021].