CHRONIC STABLE ANGINA-BETA BLOCKERS & ACEI

SUMMARY

1. Beta-blockers: started and continued for 3 years in all patients with normal LV function. Continue indefinitely ifLVEF < 40%. Use carvedilol, metoprolol succinate, or bisoprolol in all patients with LVEF < 40%, unless contraindicated.

2. ACEis in all patients who also have hypertension, diabetes mellitus, LVEF < 40%, or chronic kidney disease, unless contraindicated (ARB if ACEI intolerant).

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].