Coronary Artery Disease/Coronary Heart Disease

Jan 1, 2000 Issue
Contemporary Management of Angina: Part II. Medical Management of Chronic Stable Angina [Article]

Except for a small subset of patients with angina whose survival is improved with coronary artery bypass surgery, chronic stable angina can be appropriately managed with medical therapy in the vast majority of patients. Drug therapy includes aspirin, beta-adrenergic blockers, cholesterol-lowering ag...

Dec 01, 1999 Issue
Contemporary Management of Angina: Part I. Risk Assessment [Article]

Ischemic heart disease is one of the most common disorders managed by family physicians. Stratifying patients according to risk is important early in the course of the disease to identify patients who require invasive (percutaneous or surgical) treatment. Physical examination, clinical history, noni...

Oct 15, 1999 Issue
Right Ventricular Infarction: Specific Requirements of Management [Article]

The principal cause of right ventricular infarction is atherosclerotic proximal occlusion of the right coronary artery. Proximal occlusion of this artery leads to electrocardiographically identifiable right-heart ischemia and an increased risk of death in the presence of acute inferior infarction. C...

Sep 1, 1999 Issue
Antioxidant Vitamins and the Prevention of Coronary Heart Disease [Article]

Clinical use of antioxidant vitamin supplementation may help to prevent coronary heart disease (CHD). Epidemiologic studies find lower CHD morbidity and mortality in persons who consume larger quantities of antioxidants in foods or supplements. Clinical trials indicate that supplementation with cert...

Mar 15, 1999 Issue
Primary Prevention of CHD: Nine Ways to Reduce Risk [Article]

Lowering cholesterol can reduce the incidence of coronary heart disease. Treating hypertension reduces overall mortality and is most effective in reducing the risk of coronary heart disease in older patients. Smoking cessation reduces the level of risk to that of nonsmokers within about three years ...

Jan 15, 1999 Issue
Ordering and Understanding the Exercise Stress Test [Article]

The exercise stress test is a useful screening tool for the detection of significant coronary artery disease. Documentation of the patient's symptoms, medications, past and current significant illnesses, and usual level of physical activity helps the physician determine if an exercise stress test is...

Nov 15, 1998 Issue
Current Status of Cardiac Rehabilitation [Article]

Cardiac rehabilitation is an important management strategy in patients with coronary artery disease. Substantial data from both mortality and morbidity studies support the benefits. Recent studies of patients with coronary artery disease have shown that exercise confers greater benefit in those who ...

Oct 1, 1998 Issue
Postexercise Systolic Blood Pressure Response: Clinical Application to the Assessment of Ischemic Heart Disease [Article]

Stress test parameters indicating the presence and extent of coronary artery disease have traditionally included such variables as exercise duration, and the blood pressure and ST-segment responses to exercise. The three-minute systolic blood pressure ratio, another important indicator of significan...

Mar 15, 1998 Issue
Dietary Therapy for Preventing and Treating Coronary Artery Disease [Article]

Nearly one half of Americans die of cardiovascular disease. The morbidity and mortality associated with coronary artery disease is strongly related to abnormal lipid levels, oxidation of lipids and intra-arterial clot formation. Nutrition powerfully influences each of these factors. There is growing...

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