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Am Fam Physician. 2024;110(3):315-317

This clinical content conforms to AAFP criteria for CME.

Author disclosure: No relevant financial relationships.

KEY POINTS FOR PRACTICE

• High-intensity statin therapy is recommended for patients with chronic coronary disease, with the addition of ezetimibe or PCSK9 inhibitors for those with very high risk.

• SGLT-2 inhibitors and GLP-1 receptor agonists reduce cardiac events in patients with chronic coronary disease and type 2 diabetes or systolic heart failure, and they improve quality of life in those with heart failure and preserved ejection fraction.

• Daily colchicine reduces cardiac events and stroke in patients with chronic coronary disease and previous cardiac events.

From the AFP Editors

Approximately 20 million people in the United States live with chronic coronary disease. In 2023, the American College of Cardiology and American Heart Association released guidelines for management of chronic coronary disease, primarily for primary care physicians and cardiologists who provide care in the outpatient setting. Chronic coronary disease includes acute coronary syndrome, coronary revascularization, angina or ischemia equivalents, coronary disease diagnosed with coronary computed tomography angiography, or a positive stress test. Chronic coronary disease may be managed in the acute, postacute, or chronic setting.

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Coverage of guidelines from other organizations does not imply endorsement by AFP or the AAFP.

This series is coordinated by Michael J. Arnold, MD, Assistant Medical Editor.

A collection of Practice Guidelines published in AFP is available at https://www.aafp.org/afp/practguide.

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Copyright © 2024 by the American Academy of Family Physicians.

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