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Previous Volume 352:2524-2533 June 16, 2005 Number 24 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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This Journal feature begins with a case vignette highlighting a common clinical problem. Evidence supporting various strategies is then presented, followed by a review of formal guidelines, when they exist. The article ends with the author's clinical recommendations.

A 47-year-old man reports a six-month history of intermittent chest discomfort while playing squash. He describes lower substernal tightness with numbness of the left upper arm only during exertion. He does not smoke. His father died suddenly at the age of 49 years. His blood pressure is 138/84 mm Hg. The level of total cholesterol is 261 mg per deciliter (6.7 mmol . . . [Full Text of this Article]

The Clinical Problem

Pathophysiology

Classification of Angina Pectoris

Strategies and Evidence

Diagnostic Strategies

            Stress Testing

            Coronary Angiography

            Cardiac Biomarkers

Therapy

            Antianginal Agents

            Combination Therapy

            Vasculoprotective Therapy

            Lifestyle Changes

            Pharmacologic Therapy

Revascularization

Cardioprotective Therapy versus Percutaneous Intervention

Areas of Uncertainty

Guidelines

Summary and Conclusions

Source Information

From the Department of Internal Medicine, Division of Cardiology, University of New Mexico, Albuquerque.

Address reprint requests to Dr. Abrams at the Department of Internal Medicine, Division of Cardiology, University of New Mexico, Albuquerque, NM 87131 or at jabrams@salud.unm.edu.

Related Letters:

Chronic Stable Angina
Aguiar-Souto P., Silva-Melchor L., Ortigosa-Aso F. J., Abrams J.
Extract | Full Text | PDF  
N Engl J Med 2005; 353:1524, Oct 6, 2005. Correspondence

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