Guidelines: Chronic Stable Angina

These revised guidelines for chronic stable angina outline how best to manage not only symptomatic -- but also asymptomatic -- patients with known or suspected coronary artery disease.

Sponsoring Organizations: the American College of Cardiology and the American Heart Association, assisted by the American College of Physicians/American Society of Internal Medicine

Background and Purpose: These guidelines, a revision of the 1999 document, apply primarily to adult patients with stable chest-pain syndromes and known or suspected coronary artery disease. However, the guidelines also include subsections on asymptomatic patients with known or suspected CAD; these subsections appear after the corresponding sections for symptomatic patients.

Key Points:

1. There is a new class-I indication for ACE inhibitors in patients who have significant documented CAD and who also have diabetes and/or LV systolic dysfunction. (Note that the guid…

Reviewing Author

Joel M. Gore, MD