Stable Angina or Silent Ischaemia: Indications for Revascularisation 2019






Stable Angina also known as 'effort angina', this refers to the classic type of angina related to myocardial ischemia.
A typical presentation of stable angina is that of chest discomfort and associated symptoms precipitated by some activity (running, walking, etc.) with minimal or non-existent symptoms at rest or after administration of sublingual nitroglycerin. Symptoms typically abate several minutes after activity and recur when activity resumes.

 The indications for revascularization in patients with Stable Coronary Artery Disease who receive guideline-recommended medical treatment are the persistence of symptoms despite medical treatment and/or the improvement of prognosis.

 Indications for revascularization FOR PROGNOSIS:

  • Left main disease with stenosis > 50%.
  • Proximal LAD stenosis > 50%.
  • Two- or three-vessel disease with stenosis > 50% with impaired LV function (LVEF < 35%)
  • Large area of ischaemia detected by functional testing (> 10% LV) or abnormal invasive FFR.
  • Single remaining patent coronary artery with stenosis > 50%.

Indications for revascularization FOR SYMPTOMS:

  • Haemodynamically significant coronary stenosis in the presence of limiting angina or angina equivalent, with insufficient response to optimized medical therapy.




Popular posts from this blog

Ketamine: The Past, Present, and Potential Future of an Anesthetic Drug

Ketamine is a powerful anesthetic drug that has been used in medical settings for decades. However, its effects on the brain have also led to its use as a recreational drug, leading to controversy surrounding its use. Despite its negative associations, recent research has shown promising potential for the drug in the treatment of mental health conditions such as depression and post-traumatic stress disorder (PTSD).
Read more

Fast track anesthesia approaches

  Fast track anesthesia schemes are multi-modal approaches that aim to reduce the physiological stress response to surgery, enhance recovery, and improve patient outcomes. These schemes typically involve several aspects of perioperative care, including anesthesia management, surgical technique, pain management, fluid management, and early mobilization. Here are some common fast track anesthesia schemes:
Read more